• Mkt Manager Utilization Mgmt - Texas Markets

    Catholic Health Initiatives (Houston, TX)
    …and Experience: * Bachelor's degree in Nursing, Health Care Administration or related clinical field * Minimum 5 years of clinical case management (Utilization ... Care Coordination) * Minimum 3 years management experience in a clinical case management department. (Utilization Management, Denial Management, Care Coordination)… more
    Catholic Health Initiatives (05/04/25)
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  • Director Physician Services II

    HCA Healthcare (El Paso, TX)
    …Services (DPS) II is a strategic leader who oversees and takes ownership of a clinical operations market with 51 or more providers. The DPS II provides support to ... patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding , physician and staff training + You will have strategic and… more
    HCA Healthcare (04/29/25)
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  • Market CMO-North Texas

    CenterWell (Dallas, TX)
    …unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with interpersonal ... + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are… more
    CenterWell (04/29/25)
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  • Practice Administrator I

    Baylor Scott & White Health (Pflugerville, TX)
    …cycle, billing, patient experience, human resources, budgeting, financial analysis, clinical workflows, and recruitment. This role typically manages the following ... system goals by maintaining workflows that support, measure and achieve key clinical outcomes. Maintains an improvement mindset for the practice and aligns the… more
    Baylor Scott & White Health (04/26/25)
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  • APC - Neurology

    Kelsey-Seybold Clinic (Houston, TX)
    …The APC will provide patient-centered support for the achievement of positive clinical outcomes and prompt evaluation and treatment of patients referred to ... Neurology. The clinical scope of practice encompasses a wide array of...other healthcare providers. + Understands reimbursement criteria and neurology coding . + Performs specific duties delineated by the managing… more
    Kelsey-Seybold Clinic (04/15/25)
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  • Quality RN Professional

    CenterWell (Brownsville, TX)
    …in close partnership with market and center teams. The Stars Improvement, Clinical Professional (RN) represents the scope of provider relationships across the ... following areas: + Quality/ clinical management and population health + HEDIS and Stars...programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider performance, member… more
    CenterWell (04/08/25)
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  • Practice Administrator II - Medical Infusion

    Baylor Scott & White Health (Round Rock, TX)
    …cycle, billing, patient experience, human resources, budgeting, financial analysis, clinical workflows, and recruitment. This role typically manages the following ... by maintaining workflows that help, measure and achieve key clinical outcomes. + Maintains an improvement mindset for the...and charges are posted timely and accurately. + Ensures coding changes are identified and implemented. + Works closely… more
    Baylor Scott & White Health (03/29/25)
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  • Patient Services Coordinator, Home Health

    CenterWell (San Angelo, TX)
    …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax...+ Prior packet review / QI experience preferred. + Coding certification is preferred. **Scheduled Weekly Hours** 40 **Pay… more
    CenterWell (03/21/25)
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  • IT Data Specialist

    Houston Methodist (Houston, TX)
    …data warehouse design and development + Intermediate SQL server based SQL coding and database programming skills + Understanding of relational and multi-dimensional ... Institute aligns our research and education initiatives in service to the clinical mission, providing solutions that answer the call for new technologies and… more
    Houston Methodist (05/13/25)
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  • Hospice Nurse Practitioner PRN

    Elara Caring (Mckinney, TX)
    …regulations with respect to Collaborative Agreements. + Completes accurate billing and coding activities for all patient encounters according to CMS guidelines and ... training and continuing education for staff. + Assists in development of clinical practice guidelines/standards in support of quality palliative care. + Adheres to… more
    Elara Caring (05/13/25)
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