- Houston Methodist (Houston, TX)
- …revenue cycle partners regarding any claim issues or concern that may require clinical review during the pre-bill, audit, or appeal process. **GROWTH/INNOVATION ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed...nurse (RN) responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for a designated assignment… more
- Prime Therapeutics (Austin, TX)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job Description** Evaluates and authorizes approval… more
- Prime Therapeutics (Austin, TX)
- …and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Researches, resolves and documents physician ... our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician - Remote **Job Description** Evaluates and authorizes approval of… more
- Houston Methodist (The Woodlands, TX)
- …the revenue cycle regarding any claim issues or concerns that may require clinical review during the pre-bill, audit, or appeal process. **GROWTH/INNOVATION ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed...the access management team to ensure accurate and complete clinical and payer information. Educates members of the patient's… more
- Molina Healthcare (Fort Worth, TX)
- …effective operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection… more
- Ascension Health (Austin, TX)
- …matter expert in pharmacy discipline and provides guidance across pharmacies and to clinical leadership. + Review and assess medication orders to identify, ... career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton… more
- CVS Health (Austin, TX)
- …disorders. + Make recommendation for enhancements to current managed care, review guidelines, and clinical criteria based on extensive knowledge ... allegations of fraud and abuse. + Research and prepare cases for clinical and legal review . + Provide day-to-day support and guidance for ABA prior authorization… more
- Sumitomo Pharma (Austin, TX)
- …and consistent with the protocol for assigned studies. + Participates in the review and finalization of clinical study-related documents such as protocols, ... with CRO and other team members. . Monitors budget for clinical study, and review budgets and contracts with CROs, vendors and investigator sites (as… more
- MD Anderson Cancer Center (Houston, TX)
- …for protocol submission. * Submit FReD checklist and other compliance documents for clinical trial agreement review , negotiation, and execution. * Interact with ... The primary purpose of the Clinical Research Program Coordinator position in the department...* Proofread galley proofs of manuscripts nearing publication. * Review protocol documents including abstracts, text and informed consent… more
- Texas A&M University System (Bryan, TX)
- …to ensure proper recording and record management. + Assist in monitoring Peer Review programs for clinical departments. + Assist in coordinating and routing ... Clinical Walkthrough Assessment Program Policy and Procedure Development and Review + Assists clinical departments in the development and review of … more