- Community Health Systems (Lufkin, TX)
- …including records of referrals, patient interactions, and compliance with reporting requirements. + Identifies and appropriately refers cases to Child/Adult ... standards. **Qualifications** + Bachelor's Degree in Nursing preferred + 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting… more
- The Cigna Group (El Paso, TX)
- …Cigna resource) for customers with complicated medical conditions or technical/non- clinical needs + Research, analyze, and track customer call/claim inquiries ... portals, claim systems, and tracking systems. + Compile monthly service reporting based on client needs/requests. + Establish and maintain deep connections… more
- HCA Healthcare (Plano, TX)
- …will do in this role:** . Obtains CPT and ICD-10 diagnosis codes and other clinical information as required for treatment of the patient from practice staff; ... and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk… more
- Centene Corporation (Austin, TX)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... standards **Job Specific Details:** + Client escalations + Complaints + Light reporting + Responding to ticket inquiries from internal stakeholders + Support… more
- Prime Therapeutics (Austin, TX)
- …across the organization to influence and drive change in people, processes, information , and technology that result in improved experiences for our customers across ... experience into all facets of the business (ie product development, clinical , operations, sales, client engagement, etc.) + Develop processes and capabilities… more
- UTMB Health (Alvin, TX)
- …**Minimum Qualifications:** RN with Associate's degree in nursing and four years of clinical experience, including two years as a charge nurse. Current license or ... responsibilities, activities, and tasks. + Adheres to internal controls and reporting structure. **Salary Range:** Actual salary commensurate with experience. **Work… more
- Sam Houston State University (Huntsville, TX)
- …). Practices within the boundaries of license. Complies with adverse incident reporting system and public health requirements. Performs triage to assess patient ... needs and direct appropriate level of care based on clinical indications. Identifies patient needs and implements nursing actions or involves medical provider to… more
- Houston Methodist (The Woodlands, TX)
- …Collaborates with all members of the interprofessional team by actively communicating and reporting pertinent patient care information in a clear and timely ... + ◊ Enrolled in a school of nursing program with a completed first clinical rotation **LICENSES AND CERTIFICATIONS - REQUIRED** + BLS - Basic Life Support or… more
- Methodist Health System (Dallas, TX)
- …Systems: Epic experience required; experience with denial management systems and reporting tools preferred. + Certifications: Certification through HFMA, AAHAM, or ... + Conducts denial trend analysis and leads cross-functional discussions to resolve clinical , documentation, or billing workflow barriers. + Supports AR goals, denial… more
- UTMB Health (Waco, TX)
- …skill level and work complexity. + Adheres to internal controls and reporting structure established for department. + Performs related duties as required. ... **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Registered Nurse (RN) with two (2) years of clinical RN experience. + Must possess and maintain a current license or… more