- Covenant Health (Lubbock, TX)
- **Description** **Care Manager RN** **Join the Heart of Care at Covenant Children's Hospital!** **Are you a compassionate, detail-driven RN ready to make a big ... impact beyond the bedside? As a Care Manager , you'll be the ultimate advocate for our patients-ensuring...acute care nursing experience in a medical surgical or inpatient setting **Preferred Qualifications:** + Within 3 years of… more
- Molina Healthcare (Dallas, TX)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate level of care, inpatient readmission, and any… more
- HCA Healthcare (Austin, TX)
- …for a formal pre-admission assessment for acute inpatient rehab for their assigned case manager . + You will assist with and coordinate the intake and ... and acute inpatient rehab operations. You will establish relationships with case managers, payors, and other referral sources. You will also ensure appropriate… more
- Deloitte (Dallas, TX)
- …as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics RN, Quality, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- CenterWell (Austin, TX)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all ... care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external… more
- Elevance Health (Houston, TX)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ... (DRG) methodology, including case rate and per diem, generating highly complex audit...all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending… more
- Datavant (Austin, TX)
- …DX, RVU assignment, modifiers, and knowledge of NCCI edits. Chart mix includes both inpatient and outpatient. Epic 3M360 systems.** **What You Will Do:** + Review ... + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Baylor Scott & White Health (Dallas, TX)
- …or related field preferred. Master's degree preferred. 2. 5+ years of experience in case management, social work, utilization review , or related field. 3. 1+ ... Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more
- HCA Healthcare (Austin, TX)
- …Nursing Throughput with St. David's South Austin Medical Center, you can be a manager in an organization that is devoted to giving! **Benefits** St. David's South ... flow process and facilitate strong working relationship between caregivers, case management, and admitting departments to promote effective utilization management… more
- Molina Healthcare (San Antonio, TX)
- …Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society ... * Provides leadership and expertise in performance of prior authorization, inpatient concurrent review , discharge planning, care management and interdisciplinary… more