- CVS Health (Austin, TX)
- …management team and utilization management team. The Care Management Associate will review eligibility and benefits and open pre-certification cases ... all with heart, each and every day. **Position Summary** The Care Management Associate (CMA) supports comprehensive coordination of medical services that include… more
- HCA Healthcare (San Antonio, TX)
- …The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating ... growth, we encourage you to apply for our Nurse Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will… more
- CenterWell (Austin, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Parsons Corporation (San Antonio, TX)
- …Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role involves ... Unit - San Antonio (NAMRU-SA) and its collaborating institutions in the management of research programs. NAMRU-SA's mission is to improve survival, operational… more
- HCA Healthcare (Austin, TX)
- …issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...facility-level staff regarding delegated utilization management and disease management operations under managed… more
- Texas Health Resources (Plano, TX)
- …also providing quality medical care. 5. Support effective patient throughput, utilization management , and compliant documentation. MEDICAL STAFF GOVERNANCE: 1. ... the strategic goals of the Hospital. 2. Provide oversight and leadership to the director of Medical Staff Office and the Medical Staff. a. Assist medical staff… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …health assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Provides supportive counseling, ... electronic medical record (EMR) to complete clinical documentation, and to review and process telephone encounters, etc. Promotes and facilitates multidisciplinary… more
- Immigration and Customs Enforcement (Houston, TX)
- …at ICE detention facilities. Responsibilities include biopsychosocial assessments, case management , staff training, and suicide prevention coordination. Requires a ... for those identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction with ICE/OPLA to manage serious mental… more
- Molina Healthcare (Fort Worth, TX)
- …including care management , care coordination, transitions of care, utilization management (prior-authorization, inpatient review ), behavioral health, ... professionals, in some or all of the following functions: utilization management , care management , care...* Collaborates with the chief medical officer and medical director team to develop and implement processes to effectively… more
- HCA Healthcare (Dallas, TX)
- …through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation ... Specialist works closely with hospital case management to ensure a responsive and smooth flowing referral...prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical… more
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