- HCA Healthcare (San Antonio, TX)
- …or related field; + 1-year management experience as a charge RN, clinical care manager/supervisor, or manager. **Minimum License, Certificates, or Registrations ... Nursing provides leadership and overall responsibility for the functioning of assigned clinical patient care /procedural unit(s). She/he is responsible 24 hours a… more
- Houston Methodist (Houston, TX)
- …to high complexity, exercising independent judgment and execution of above average clinical skills on challenging procedures and patient care situations. This ... above average clinical skills on challenging diagnostic procedures and patient care situations. + Actively participates and scrubs into Cath Lab cases to assist… more
- Houston Methodist (Houston, TX)
- …coordination of care for the pre-transplant patient. This position demonstrates clinical knowledge and competence when providing care , as appropriate, using ... position demonstrates the ability to continuously progress in skill to care for increasingly complex patients, receiving coaching from experienced Transplant… more
- Baylor Scott & White Health (Temple, TX)
- …occasionally we travel with a portable ultrasound machine to a continuing care facility across town to perform echoes. **Registry** : Multi-credentialed sonographers ... as well as participate in training Cardiology Fellows, and students during clinical rotations, familiarity with Philips iE33/EPIQ systems **About Us** Here at Baylor… more
- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... fee for service and assisting nurses as needed with review of claims. Works with other Medicare Administrative Contractor...and consistent responses to providers. + Provides guidance for clinical operational aspects of a program. + Serves as… more
- Molina Healthcare (San Antonio, TX)
- …and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team ... + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in...+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/Managed Care … more
- Guidehouse (San Antonio, TX)
- …Oracle Health (Cerner) EHR configuration support tasks related to patient access, utilization of the Cerner system, and providing positive patient interactions, all ... services, and processes related to the sustainment of the MHS GENESIS. + Review and make recommendations to improve end-to-end workflows that meet expected outcomes… more
- BluePearl (San Antonio, TX)
- …a fast-paced environment. + **Ongoing Mentorship** : Regular check-ins with mentors to review cases, address challenges, and refine clinical skills. + **Exposure ... becoming a skilled, confident, and proficient emergency veterinarian, equipped to administer life-saving care for pets in crisis. From day one, you'll be part of our… more
- Methodist Health System (Dallas, TX)
- …benefits for proposed medical services, to ensure reimbursement for rendered care . This position routinely works with physicians, clinic support staff, case ... managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and...equivalent. Some college preferred * 1 year of prior clinical and/or insurance experience. * Knowledge of billing practices… more
- Evolent (Austin, TX)
- …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/ care management (CM) correspondence development, internal and… more