- Centene Corporation (Austin, TX)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... + Experience working with providers and healthcare teams to review care services, precertification, concurrent review...and Family Therapist required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Centene Corporation (Austin, TX)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... competitive benefits including a fresh perspective on workplace flexibility. POSITION IS REMOTE WITH POTENTIAL FOR WEEKEND AND HOLIDAY HOURS MUST HAVE INDIANA… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **Pharmacist (Specialty) - Remote - MO, CA, TX or FL only** **Position Purpose:** Coordinate and ... weight, current and past medical history, clinical laboratory results and concurrent medications (including over-the-counter or home remedy medications) + Ensure… more
- Oracle (Austin, TX)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... directly with clients at a prominent academic medical center in the Midwest. This remote role will act as the primary subject matter expert and point person for… more
- Centene Corporation (Austin, TX)
- …and substance abuse + Experience working with providers and healthcare teams to review care services, precertification, concurrent review , discharge reviews ... and Weekends** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises… more
- Centene Corporation (Houston, TX)
- …weight, current and past medical history, clinical laboratory results and concurrent medications (including over-the-counter or home remedy medications) + Ensure ... and the results are obtained and discussed with the nurse and the physician + Provide patient counseling, education,...+ Assess responses to therapy, patient compliance, and ongoing review of drug regimens; report and manage adverse events… more
- Health Care Service Corporation (Richardson, TX)
- …professional development. **Job Summary** This position is responsible for performing concurrent review in accordance with approved departmental guidelines; ... within the scope of their benefit plan. **Required Job Qualifications:** + Registered Nurse (RN) with current, valid, unrestricted license to practice in state of… more
- BrightSpring Health Services (Corsicana, TX)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more