• Clinical Documentation

    UTMB Health (Galveston, TX)
    Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health ... of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the appropriate level of service provided,… more
    UTMB Health (09/13/25)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    …includes monitoring patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff ... **Description** ** Clinical Pharmacist Specialist BMT** **Full Time...ongoing analysis of interventions to insure accurate and appropriate documentation and provide summary reports. + Supports and participates… more
    HCA Healthcare (10/12/25)
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  • Disability Clinical Specialist

    Sedgwick (Irving, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information… more
    Sedgwick (10/10/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Austin, TX)
    …determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party ... Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health… more
    Cognizant (10/09/25)
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  • HCSS Extracorporeal Membrane Oxygenation (ECMO)…

    UTMB Health (TX)
    …in device management, patient monitoring, emergency response, and quality improvement initiatives. ** Clinical Level Detail** The ECMO Specialist (ES) is a ... The ECMO Specialist will master the necessary skills with repeated clinical drills until meeting the ECMO director, manager, and/or coordinators' expected time… more
    UTMB Health (09/17/25)
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  • HCSS Extracorporeal Membrane Oxygenation (ECMO)…

    UTMB Health (Galveston, TX)
    …in device management, patient monitoring, emergency response, and quality improvement initiatives. Clinical Level Detail The ECMO Specialist (ES) is a competent ... The ECMO Specialist will master the necessary skills with repeated clinical drills until meeting the ECMO director, manager, and/or coordinators' expected time… more
    UTMB Health (09/13/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources ... and skills to reduce significant financial risk and exposure caused by unnecessary services provided. This...for process and workflow opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist more
    Houston Methodist (07/31/25)
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  • Coding Charges & Denials Specialist

    Houston Methodist (Houston, TX)
    …facilities. This position will be responsible for working assigned specialties and combines clinical knowledge to reduce financial risk and exposure caused by ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the... is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in… more
    Houston Methodist (10/17/25)
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  • Medical Receptionist - Operations…

    Aveanna Healthcare (Olmito, TX)
    Medical Receptionist - Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 208457 Location: Olmito, TX 78575 Category: Administrative/Clerical ... $17.00 per hour Position Details Medical Receptionist - Operations Specialist Aveanna Healthcare is a leading national provider of...at a time. Our team consists of operational and clinical support staff in our local office, and bedside… more
    Aveanna Healthcare (10/16/25)
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  • Specialist , Provider Engagement (Remote…

    Molina Healthcare (Longview, TX)
    **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and ... risk adjustment outcomes through effective provider engagement activities. Ensures...adjustment and quality efforts (eg Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider… more
    Molina Healthcare (10/16/25)
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