- Houston Methodist (Sugar Land, TX)
- …regulatory guidelines, medical necessity, and accrediting standards for all requests. Provides clinical support to Case Management staff, others as needed and ... is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with… more
- Evolent (Austin, TX)
- …aligned with clinical guidelines. + Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. + Act ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- Humana (Austin, TX)
- …provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals processes, and outpatient services ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Immigration and Customs Enforcement (Houston, TX)
- …modalities. Proficient in Microsoft Office applications and electronic health record system clinical documentation . Flexible and able to adapt to sudden changes ... Summary The Supervisory Behavioral Health Provider oversees clinical performance, program evaluations, and behavioral health services at ICE detention facilities.… more
- Houston Methodist (Baytown, TX)
- …accredited Nurse Practitioners program **EXPERIENCE** + Two years of advanced practice clinical experience + Two years of advanced practice clinical experience ... Care practitioner certification **and** + BLS - Basic Life Support or Instructor (AHA) - American Heart Association **and**...language principles + Use of critical thinking skills and clinical judgement to work autonomously as defined by the… more
- Houston Methodist (The Woodlands, TX)
- …at the Competent to Proficient stage of Benner's model of clinical practice. This position coordinates interdepartmental communication with all those involved ... addition to fulfilling the duties and responsibilities of a clinical nurse, the Charge Nurse II OR Department Premium...establishing Texas residency) **and** + BLS - Basic Life Support or Instructor (AHA) - American Heart Association **Preferred**… more
- Texas Health Resources (Arlington, TX)
- …care progression throughout the continuum with the objective of enhancing quality clinical outcomes and safe discharge planning to the appropriate levels of care ... and families to manage chronic conditions and ensures appropriate post-discharge clinical follow up. Proactively identifies patients who no longer meet continued… more
- Veterans Affairs, Veterans Health Administration (Bonham, TX)
- …of the Veteran Transportation Services program. The incumbent must have knowledge of clinical services, related software and programs as they relate to clinical ... automation. Responsibilities MAJOR DUTIES: Scheduling, Data Collection & Tracking Support Performs work involving consult management, appointment scheduling and… more
- HCA Healthcare (Plano, TX)
- …come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** HCA ... Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance.… more
- Oracle (Austin, TX)
- …providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will standardize ... These include, but are not limited to, multiple Essential Clinical Dataset (ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding,… more