- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative ... environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position will be responsible for working assigned… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …Patient Monitoring will work in the program that applies care and case management principles to coordinate care using health informatics, disease management and ... Patient Monitoring include but are not limited to: Improves clinical outcomes and access to care while reducing complications,...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Catholic Health Initiatives (Houston, TX)
- …role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety of high-level ... provision of services necessary to meet those needs. The case manager must be knowledgeable in community resources and...**Major Experience/Education:** Minimum two (2) years of acute hospital clinical experience with ADN or a Master's degree in… more
- Houston Methodist (Houston, TX)
- …complex financial counseling functions (eg, extended payment arrangements, discounts, single case agreements, case rates, etc.). **PEOPLE ESSENTIAL FUNCTIONS** + ... which can include updating reporting and/or participating in regular meetings with case management and finance for in-house patients to ensure timely discharge… more
- CVS Health (Austin, TX)
- …and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
- Molina Healthcare (Fort Worth, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with ... and informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.… more
- Molina Healthcare (TX)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from ... position and productivity is important. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience._ _This role… more
- InGenesis (El Paso, TX)
- …award. Job Duties * Function within the scope of his/her specialty under the clinical oversight of the Chief of Psychiatry, the Clinical Director (or designee), ... Coordinate off-site care as required. * Consult with the Clinical Director (or designee), Psychiatrist, and other behavioral health...the use of aides if necessary (exceptions on a case -by- case basis). * Must easily alternate between… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …personal adjustment counseling, therapeutic rehabilitation interventions, and case coordination services. Uses evidence-informed and evidence-based modalities ... such as personal adjustment counseling, therapeutic rehabilitation interventions and case coordination services, utilizing evidence-informed and evidence-based modalities and… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …of information and use of an instrument tracking system, prepares operating room case carts as well as the receipt, inspection, tracking and processing of loaned ... Contracting Staff, and Medical Enlisted Training College (METC) Joint services clinical Surgical/SPS training programs and assists in orientation and training under… more