- Gentiva (Lubbock, TX)
- …Gentiva Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health , and personal home care. Our place is by the side ... Group (IDG), as assigned, including presiding over IDG, presentation of patients for review , coordination of minutes, review of patient charts to note and… more
- Gentiva (Terrell, TX)
- **Our Company** Hospice Plus, part of the Gentiva family of hospice, home health , palliative, and community care providers, focuses on clinical excellence with ... innovation while we serve as a leader in the home care industry. Our people and our patient care...assigned, including presiding over IDG, presentation of patients for review , coordination of minutes, review of patient… more
- Evolent (Austin, TX)
- …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- CenterWell (Grand Prairie, TX)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source ... Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CenterWell (Beaumont, TX)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as an active participant and key source ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- Prime Therapeutics (Austin, TX)
- …is responsible for receiving inbound and making outbound calls to qualified members to review the benefits of the MTM programs in addition to assisting the leaders ... in a manner that meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliant + Act… more
- CenterWell (San Antonio, TX)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant and key source ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CommonSpirit Health (Houston, TX)
- …conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and, in accordance with the ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely with case and utilization… more
- Evolent (Austin, TX)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Austin, TX)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more