- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Social Work: ... VA Careers - Licensed Clinical Social Worker: https://youtube.com/embed/U\_xC25QsN0w Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work:… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Cypress, TX)
- …engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource ... issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource… more
- Molina Healthcare (Fort Worth, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will...the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer… more
- CVS Health (Arlington, TX)
- …Field Experience. + Bilingual. + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and discharge ... and coordination of psycho social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Assessment of… more
- BrightSpring Health Services (San Antonio, TX)
- …Overview Behavior Clinic Supervisor for Youth ABA Line of Business MUST BE A FULLY LICENSED BCBA IN THE STATE OF TEXAS HYBRID REMOTE WORK AND FLEXIBLE SCHEDULE! We ... for children as they work on building the program. This person must be a licensed BCBA. It's considered a hybrid position paying base $75,000 a year with bonus… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... design, collection, and reporting of adverse drug reactions, drug utilization reviews, medication errors and pharmacy quality initiatives +...Acts as manager in charge as assigned. + Provides review and guidance on physician order sets and other… more
- SAM LLC (El Paso, TX)
- …a reputation as a trusted, knowledgeable, and innovative partner. Our licensed professionals transform petabytes of complex spatial data into intelligent insights ... responsible for oversight and reporting on spending and budget, utilization of resources, tracking deliverables, handling of field and...the backup to their Project Manager, assisting with billing review , and proposal writing and review . +… more
- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay...required + Bachelor's Degree in Nursing preferred + Currently licensed as an RN in the state of TX… more
- HCA Healthcare (Live Oak, TX)
- …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more