- Molina Healthcare (Houston, TX)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Molina Healthcare (Fort Worth, TX)
- …in a hospital acute care , inpatient review, prior authorization, and/or managed care setting, or equivalent combination of relevant education and experience. ... regulations, and that members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Actalent (San Antonio, TX)
- …Requirements + Licensure: LPN/LVN license + Experience: Minimum 2+ years in a managed care environment or working with individuals with disabilities, chronic, or ... LVN Service Care Coordinator Start Date: ASAP Location: Remote -...needed) Position Overview We are seeking an LVN Service Care Coordinator to join the Specialty Authorization Team. This… more
- BrightSpring Health Services (San Antonio, TX)
- …communicating (verbally and in writing) with skilled nursing, assisted living, subacute and managed care organizations to assess market needs. + Works with RVP ... for products and service. Prior experience in B2B Long-Term Care Sales or Pharmacy Services Sales a plus. Remote...a Bachelor's Degree or equivalent experience + Long Term Care experience preferred + Two or more years of… more
- Health Care Service Corporation (Abilene, TX)
- …preferred.** **1-year experience in Care Management in a health insurance/ managed care setting** **Knowledge of medical management policies and procedures** ... is a primary source of contact for members, health care personnel and all other entities involved in managing...personnel and all other entities involved in managing specialty care . The primary nurse case administrator performs care… more
- Health Care Service Corporation (Richardson, TX)
- …and/or MBA. + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + ... improvement best practices and innovative strategies to improve the quality of care and member experience. **J** **ob Responsibilities:** 1) Oversee a team… more
- Option Care Health (San Antonio, TX)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in… more
- Health Care Service Corporation (Richardson, TX)
- …care or business administration or a minimum of 4 years work experience in a managed care environment. *Minimum of 2 years of health care administration ... interpersonal, analytical, presentation and communication skills. *Knowledge of the health care industry and BCBSIL private business. *Ability and willingness to… more
- Option Care Health (Austin, TX)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in… more
- Health Care Service Corporation (Richardson, TX)
- …Oncology, Physical Medicine and Rehabilitation, Surgical, Plastic Surgeon, or + 3 years Managed Care experience This is a Telecommute (Remote) role: Must reside ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more