- HCA Healthcare (Pasadena, TX)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- HCA Healthcare (Pasadena, TX)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a **Social...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- ChenMed (Houston, TX)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...need great people to join our team. The Community Care team is a multidisciplinary service including Registered Nurse… more
- Valor Health (San Antonio, TX)
- …+ Complies with all VA and company training requirements. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About You Valor… more
- Highmark Health (Austin, TX)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving patient outcomes. + Provide consultative workflow… more
- Valor Health (Copperas Cove, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. Valor is different… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …Located outside of the clinical space, but designated departmental space is the managed care team. Our faculty positions include 1 Chair, 12 Generalists, ... We are committed to delivering the highest quality of care while providing our clinicians with an exceptional personal...of the pediatric community to provide primary and subspecialty care to meet the needs of the pediatric population… more
- CVS Health (Austin, TX)
- …pertain to neurodevelopmental disorders. + Make recommendation for enhancements to current managed care , review guidelines, and clinical criteria based on ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...gives us a unique opportunity to help transform health care . We believe that a better care … more
- HCA Healthcare (Dallas, TX)
- …and improves reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Prime Therapeutics (Austin, TX)
- …Registered Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more