- St. George Tanaq Corporation (Austin, TX)
- …Experience and Skills** + One (1) year of Medicare appeals, medical review , clinical, healthcare regulatory interpretation/application, healthcare compliance or ... university in healthcare or related discipline Additional experience in Medicare appeals, medical review , clinical, or other related experience in a healthcare… more
- St. George Tanaq Corporation (Austin, TX)
- …+ Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or related experience in a healthcare setting + Must have ... US Eastern, Central or Mountain Time Zones. **Responsibilities** + Reviews medical records/ case file, writes a reconsideration/dispute resolution decision that… more
- CVS Health (Austin, TX)
- …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Arlington, TX)
- …Experience. + Bilingual. + Crisis intervention skills preferred. + Managed care/utilization review experience preferred. + Case management and discharge planning ... compassionate. And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health** **Position Summary** This is a remote role, requiring 75%… more
- Houston Methodist (The Woodlands, TX)
- …addressing solutions of social determinants which is accomplished by patient/family interview, review of the medical record including previous episodes of care, ... compassionate, clinical social work, psychosocial assessments, diagnosis and treatments, and complex discharge planning to patients and their families of a targeted… more
- HCA Healthcare (Lewisville, TX)
- …learning is important to you, we encourage you to apply for our Supervisor Case Management opening. Our team will promptly review your application. Highly ... a place to deliver excellent care patients deserve? At Medical City Lewisville we support our colleagues in their...in their positions. Join our Team as a Supervisor Case Management and access programs to assist with every… more
- Public Consulting Group (Austin, TX)
- …efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...options + Develops effective working relations and cooperate with medical team throughout the entire case management… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current role?...opportunity for you to join St. David's South Austin Medical Center which is a part of the nation's… more
- HCA Healthcare (Austin, TX)
- …is important to you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified ... excellent care patients deserve? At St. David's South Austin Medical Center we support our colleagues in their positions....their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every… more
- CVS Health (Austin, TX)
- …and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall wellness. - ... and no holidays; however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing,… more