- Dentons US LLP (Dallas, TX)
- …LLP is currently recruiting for a Discovery Project Manager to support our Case Teams, nationally. The Discovery Project Manager will act primarily as a consultant ... for firm case team members across a broad spectrum of issues...budgeting, workflow and database design, as well as the review and production processes throughout the discovery lifecycle, and… more
- ChenMed (Houston, TX)
- …has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient. + Conducts ... may need and to oversee appropriate patient discharge from case management. + Performs clinical and Social determination of...patient needs and services available in the community or review of their benefits. + Completes individual plan of… more
- Datavant (Austin, TX)
- …organizations. **You will:** + Develop and adapt content assets (presentations, case studies, whitepapers, blogs, videos, etc.) that support Sales and Marketing ... + Experience creating a wide variety of content formats (presentations, blogs, case studies, whitepapers, etc.). + Strong project management skills with the ability… more
- Molina Healthcare (Fort Worth, TX)
- …care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... also entails producing audit reports for internal and external review . The position may also work with other internal...regulatory agencies and law enforcement. + Documents appropriately all case related information in the case management… more
- HCA Healthcare (Austin, TX)
- …Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level ... reports and recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness. + Creates a data-driven… more
- MD Anderson Cancer Center (Houston, TX)
- …possible avenues of appeal. * Contact third-party payers, insurance medical directors, case management, and utilization review to request reconsideration and/or ... to support Defense Audits, confirming services were provided and billed accurately. Review for overcharges and missing charges, and discuss findings with outside… more
- Datavant (Austin, TX)
- …vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Austin, TX)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued stay ... letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Schlumberger (Houston, TX)
- …facts. ▪ Participate in the daily operational and HSE meeting led by the client. ▪ Review and sign (in case to be agree) the job certification immediately after ... WSC shall interact with Operations Integrated Centre (OIC) to review the operations alerts give them feedback about the...be according to the approved well program. ▪ In case of any change in the planning the WSC… more
- Datavant (Austin, TX)
- …Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more