- Humana (Austin, TX)
- …knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare...with Case managers or Care managers on complex case management, including familiarity with social… more
- Humana (Austin, TX)
- …knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare...with Case managers or Care managers on complex case management, including familiarity with social… more
- HCA Healthcare (Austin, TX)
- …Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level ... corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities.… more
- Datavant (Austin, TX)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting… more
- CenterWell (Corpus Christi, TX)
- …part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical… more
- HCA Healthcare (El Paso, TX)
- …you looking for a place to deliver excellent care patients deserve? At Las Palmas Medical Center we support our colleagues in their positions. Join our Team as a(an) ... Medical Social Worker MSW Kidney Transplant PRN and access...this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and… more
- Sedgwick (Irving, TX)
- …75063 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements,...employer. + Refers cases to team lead and clinical case management for additional review when appropriate.… more
- USAA (San Antonio, TX)
- …of litigation solution. Guides the business on strategy in the pursuit of case resolution and offers business solutions to handle litigation risk. We offer a ... significant enterprise impact. + Participates in formulating, communicating, and briefing case strategy to internal legal team and/or business leaders. + Prepares… more
- HCA Healthcare (Austin, TX)
- …patient placement through clinical screenings and assessments in collaboration with hospital case management and the rehab Medical Director. + You will ... and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services. +… more
- Datavant (Austin, TX)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... of information related telephone calls and inquiries accurately and timely. + Review , research, resolve and respond to inquiries that are received via telephone,… more