- Centene Corporation (Mcallen, TX)
- …activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC and RN with BH experience… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …of complex tasks requiring developed proficiency/ higher responsibility: serves as Clinical Coordinator/Charge Nurse/Acting Nurse Manager as assigned. Nurse ... the Nurse Manager in collaboration with the Health Services Administrator and Clinical Director, with the Regional Nurse Manager as the reviewing official.… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …the Nurse Manager in collaboration with the Health Services Administrator and Clinical Director, with the Regional Nurse Manager as the reviewing official. ... documentation, and ensuring compliance with IHSC policies. The role requires clinical expertise, adaptability to changing schedules, and the ability to work… more
- Fresenius Medical Center (Dallas, TX)
- …counsel as needed to resolve issues and support FMS. + Negotiates and implements contracts with payors that require clinical and quality outcomes measurements. + ... and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per… more
- RxBenefits (Houston, TX)
- …on our modeling. + Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate ... correct and released. Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in… more
- Highmark Health (Austin, TX)
- …territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. ... updates and draft confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group… more
- Elevance Health (TX)
- …from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance … more
- Elevance Health (Houston, TX)
- …oversight from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. + Typically has program ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...required. + Additional experience may be required by State contracts or regulations if the Medical Director is filing… more
- KBR (Houston, TX)
- …Direct Combat Support personnel on the Preservation of the Force and Family (POTFF) contract . At KBR we maintain a highly qualified workforce to help care for ... this be you? Essential Duties & Responsibilities: + Performs administrative and clinical duties within their scope of practice. + Provide nutritional planning,… more
- Justice, Bureau of Prisons/Federal Prison System (Big Spring, TX)
- …dental and allied health services of the facility, and in collaboration with the Clinical Director, overseeing the provision of the best possible patient care to the ... chronic care of inmates with long term illnesses. Serves as a cost center manager to prepare estimates and administer an annual budget and manages a procurement… more