• Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …required) (Working Friday, Saturday, Sunday, Monday, and Tuesday) This is a Remote position, home office with internet connectivity of high speed required **Job ... Summary** Clinical Appeals...Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as… more
    Molina Healthcare (08/02/25)
    - Related Jobs
  • Senior Specialist, Member & Community…

    Molina Healthcare (TX)
    …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key… more
    Molina Healthcare (07/31/25)
    - Related Jobs
  • Outreach Specialist - Remote

    Sharecare (Austin, TX)
    …the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate confirmed appointments and ... . **Job Summary:** Under the general supervision of the Operations Manager , the Outreach Enrollment Specialist has the primary responsibility of scheduling… more
    Sharecare (08/08/25)
    - Related Jobs
  • Senior Home Health Field Clinical Educator

    CenterWell (Austin, TX)
    …put health first** The Senior Home Health Field Clinician Educator is the clinical resource responsible for the development of clinicians as they apply knowledge ... Teaches, mentors, and coaches clinicians. + Demonstrates competence in performance of clinical skills including but not limited to admission of patients, assessment,… more
    CenterWell (08/08/25)
    - Related Jobs
  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (San Antonio, TX)
    …decisioning, adjusting, and responding timely to claim disputes. Team consists of clinical and non- clinical staff. * Establishes Medicare Contracted Provider ... performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's… more
    Molina Healthcare (07/18/25)
    - Related Jobs
  • Program Manager - CCSG & Extramural…

    MD Anderson Cancer Center (Houston, TX)
    …and the public. The primary purpose of the Cancer Center Support Grant (CCSG) Program Manager position is to provide administrative and grants management support ... also serves as the Principal Investigator of the award. The CCSG Program Manager will aid administration in programmatic development, administrative management,… more
    MD Anderson Cancer Center (06/25/25)
    - Related Jobs
  • Senior Clinical Programs Pharmacist

    CenterWell (Austin, TX)
    …our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with ... a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to...management experience and ability to lead teams + Previous program or project management experience + Proven success in… more
    CenterWell (08/08/25)
    - Related Jobs
  • Patient Safety/Grievance Program

    Texas Health Resources (Arlington, TX)
    Patient Safety/Grievance Program Manager - TH Urgent Care (Breeze), Full-time, Days _Bring your passion to Texas Health so we are Better + Together_ Work ... 40 hours/week, Monday-Friday, 8 am - 4pm; Position is remote but local to DFW area (THR service area)...addition to the required qualifications, a successful Patient Safety/Grievance Program Manager will demonstrate: + Effective communicator… more
    Texas Health Resources (08/08/25)
    - Related Jobs
  • Per Diem Care Manager

    MD Anderson Cancer Center (Houston, TX)
    Position Title: Per Diem Care Manager askMDAnderson Department: Clinical Programs askMDAnderson Division: Patient Experience Reports to: APP Manager , ... employees and the public. *POSITION SUMMARY:* The primary purpose of the Clinical Programs askMDAnderson Registered Nurse Care Manager is to provide… more
    MD Anderson Cancer Center (08/08/25)
    - Related Jobs
  • Per Diem Advanced Practice Provider, Lead Care…

    MD Anderson Cancer Center (Houston, TX)
    …Department: Clinical Programs askMDAnderson Division: Patient Experience Reports to: APP Clinical Manager *Shift Hours*: 19 hours per week. Saturdays, 9:00am ... employees, and the public. *POSITION SUMMARY:* The primary purpose of the Clinical Programs of askMDAnderson is to provide transitions in care and after-hour… more
    MD Anderson Cancer Center (08/10/25)
    - Related Jobs