- HCA Healthcare (Plano, TX)
- …BUT ARE NOT LIMITED TO + Complete assessments in a timely manner and provide high quality clinical care: + Initial Assessments - 90 minutes or less on average + ... review 30 minutes or less on average + Clinical interview 30 minutes or less on average +...quality metrics shared by leadership + Engages in clinical learning opportunities offered internally as well as meets… more
- Humana (Austin, TX)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Humana (Austin, TX)
- …their daily work specifically for DSNP. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- CVS Health (Austin, TX)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... experience in a managed care organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's… more
- Fujifilm (Austin, TX)
- …Manager is to understand and define our internal and external endoscopic customers' clinical needs and assist with the development and implementation of clinical ... and education solutions. Additionally, this role builds and nurtures relationships with clinical customers as it relates to participating in clinical studies… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …issues arising in medical, podiatric, and allied-health education and related clinical practice(s), and on UTRGV's current or future affiliation(s) with external ... Ensure all aspects of the University's medical, podiatric, and allied-health clinical practices meet applicable regulatory requirements. + Attract, develop, retain,… more
- CVS Health (Austin, TX)
- …to members and providers. Leads all aspects of utilization review / quality assurance, directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...effective use of health care resources. **This is a remote based (work at home) based anywhere in the… more
- Sumitomo Pharma (Austin, TX)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Humana (Austin, TX)
- …your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best and most appropriate ... hiring for a UM Administration Coordinator that will provide non- clinical support for the policies and procedures ensuring best...the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Psychologist: ... the family to sustain the veteran in the home environment. Provides clinical services through the use of Telehealth technology. Provides screening for cognitive… more