• Director of Clinical Operations

    REMOVERY LLC (Austin, TX)
    …escalation as needed. + Manage the incident register and reporting, ensuring timely documentation and resolution of clinical incidents. 3. Clinical Protocol ... effectively. Preferred Skills: + Experience with database management and reporting systems . + Familiarity with clinical protocol development and compliance.… more
    REMOVERY LLC (05/16/25)
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  • Medical Coder III

    SAIC (TX)
    …cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement ... Qualifications:** + Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS);… more
    SAIC (05/29/25)
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  • System Float Pool - Med Surg RN Full time…

    Houston Methodist (Houston, TX)
    …based on evaluation of the patient's condition, supported by accurate documentation . Utilizes clinical judgement, using an evidence-based analytical approach. ... core measure and patient safety outcomes, supported by accurate documentation . + Provides and modifies care to complex patients...wide variety of business functions that operate at the system level to help enable clinical departments… more
    Houston Methodist (05/08/25)
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  • Process Owner

    Baylor Scott & White Health (Dallas, TX)
    …+ Epic Experience/Certification + HIM (Health Information Management) + CDI ( Clinical Documentation Improvement) **MINIMUM QUALIFICATIONS** + EDUCATION - ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
    Baylor Scott & White Health (05/21/25)
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  • Care Coordinator - Weight Management Insurance…

    Houston Methodist (Houston, TX)
    …Medicare, Medicaid, and managed care reimbursement methodologies** + **Ability to review clinical documentation for Medical Necessity and payer requirements** + ... and timely entering of data in the medical record systems . Submits data, reports and spreadsheets to Quality programs,...wide variety of business functions that operate at the system level to help enable clinical departments… more
    Houston Methodist (04/29/25)
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  • Sr Insurance Verifier-Full-time/Days

    Houston Methodist (Houston, TX)
    …to meet needs related to unanticipated patient volume + Ability to review clinical documentation for Medical Necessity and payer requirements + Working knowledge ... as directed. + Initiates authorization for services as needed utilizing clinical information provided by the ordering physician. Monitors and tracks authorizations,… more
    Houston Methodist (05/28/25)
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  • Clinical Training Institute Mgr

    MTC (Henderson, TX)
    …directives. 2. Create, plan and develop systems to monitor the Clinical Training Institute (CTI) requirements and documentation are in compliance according ... at the individual, teams and organizational level by delivering relevant clinical training. Responsible for coordinating and scheduling required training for… more
    MTC (05/21/25)
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  • Field Medical Director, Oncology

    Evolent (Austin, TX)
    …Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (05/20/25)
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  • Field Medical Director, Radiology (Endocrinology)

    Evolent (Austin, TX)
    …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (05/03/25)
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  • Field Medical Director, MSK (Spine) Surgery

    Evolent (Austin, TX)
    …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (05/21/25)
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