• Utilization Management Dental Director- Texas

    Humana (Austin, TX)
    …and help us put health first** The Dental Director is responsible for providing clinical oversight to promote the oral health of the member population that Humana ... member grievances and appeals o Provide and advance the clinical vision for the future of oral health by...care reviews, as needed o Work with Specialty Quality Manager on annual quality work plan o Chair quarterly… more
    Humana (08/23/25)
    - Related Jobs
  • Physical Therapist Assistant, Home Health

    CenterWell (Temple, TX)
    …patients. + Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week. + Attend educational ... control and universal precautions in performing patient care activities. + Accept clinical assignments that are consistent with education and competence to care for… more
    CenterWell (08/22/25)
    - Related Jobs
  • Nurse Demand Management

    Elevance Health (Grand Prairie, TX)
    …Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed ... in nursing and minimum of 2 years of acute clinical experience; or any combination of education and experience,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/21/25)
    - Related Jobs
  • Consultative Coding Professional

    CenterWell (Austin, TX)
    …and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural ... Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation… more
    CenterWell (08/20/25)
    - Related Jobs
  • Hedis/Quality Improvement RN

    CenterWell (San Antonio, TX)
    …in close partnership with market and center teams. The Stars Improvement, Clinical Professional (RN) represents the scope of provider relationships across the ... following areas: + Quality/ clinical management and population health + HEDIS and Stars...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (08/20/25)
    - Related Jobs
  • Primary Care Physician

    ChenMed (Houston, TX)
    …* Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up ... patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for… more
    ChenMed (08/19/25)
    - Related Jobs
  • Echo Technician PRN Non-Registered

    HCA Healthcare (San Antonio, TX)
    …Ultrasound Technologist works under the direction of the Non-Invasive Cardiology Manager or designee and demonstrates knowledge of non-invasive cardiac technology to ... therapist, physical therapist, RN program) AND one (1) year full-time clinical ultrasound/vascular ultrasound experience. (ARDMS and RCS eligibility) B. Graduate of… more
    HCA Healthcare (08/16/25)
    - Related Jobs
  • Supervisor, Center Administration

    CenterWell (Corpus Christi, TX)
    …support personnel who provide outpatient care to patients in a clinical setting. The Supervisor, Center Administration works within thorough, prescribed guidelines ... * 3+ years of operational leadership experience within a multi-physician office or clinical group, including front of house management and clinical operations,… more
    CenterWell (08/14/25)
    - Related Jobs
  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. +… more
    Elevance Health (08/13/25)
    - Related Jobs
  • Medical Laboratory Scientist - Pathology - (Katy)

    Houston Methodist (Katy, TX)
    …+ Teaches students, new employees and others as assigned by Manager . + Participates in laboratory and organization-wide initiatives. **SERVICE ESSENTIAL FUNCTIONS** ... within 18 months: + * Certified as a Medical Technologist, Clinical Laboratory Scientist, Medical Laboratory Scientist, or categorical certification by Board… more
    Houston Methodist (08/13/25)
    - Related Jobs