- Elevance Health (Houston, TX)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... profession. **Preferred Skills, Capabilities, and Experiences:** + Board certification in Pain Management strongly preferred. + 3 years clinical experience post… more
- US Tech Solutions (San Antonio, TX)
- **Position Summary:** The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization ... for specialty medications. The clinical pharmacist will apply clinical knowledge to...service level agreements. (20%) 2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare… more
- CVS Health (Austin, TX)
- …Qualifications** + 1+ years current or previous experience in Home Health. + and/or Case Management experience preferred. + 1+ years experience with Lexicomp a ... Quality of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and… more
- CVS Health (Austin, TX)
- …will provide clinical , coding, and reimbursement expertise as well as directing case management when necessary. In this role you will provide clinical ... clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum... expertise and business direction in support of medical management programs through participation in clinical team… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …education on advance directives and advanced care planning; providing social work case management ; acting as an patient/family member/caregiver advocate with ... 2 years of experience in an area of specialized social work practice. case management experience. experience facilitating groups. experience as a community… more
- ERP International (Dyess AFB, TX)
- …23 years. * Identifies and manages specific pediatric illnesses. Prepares and reviews case histories and clinical records of newborns, infants, children, and ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Texas A&M University System (College Station, TX)
- …staff. Consults with TVMDL colleagues to provide a complete, holistic approach to case management for all clients when appropriate. May participate in meetings ... and preparation by section staff. Ensures samples are properly accessioned, entering case data into TVMDL's laboratory information management system (LIMS), and… 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 ... **Major Experience/Education:** Minimum two (2) years of acute hospital clinical experience with ADN or a Master's degree in... experience with ADN or a Master's degree in Case Management , or Master's Degree Nursing TX… more
- STG International (Temple, TX)
- …to exceed thirty days. Familiar with Reimbursement system of Medicare, Medicaid & Case Management Preferred Skilled Nursing Facility Experience as an MDS Nurse ... and company program rollouts. 16. Provides information to regional operations, clinical and community management team on the status of clinical and financial… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …plan for an assigned caseload of Veterans, including prompt completion of clinical reminders, case notes and psychological reports. Functions independently as ... Veteran and/or Military population Experience with crisis intervention and risk management Experience with Evidence-based psychotherapies Clinical proficiency in… more