- Centene Corporation (Austin, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... 8 am - 5 pm (CST); no evenings or weekends** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and supporting… more
- Highmark Health (Austin, TX)
- …specialization + Experience in a Clinical Setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES or CERTIFICATIONS** **Required** + Current State ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- CenterWell (Austin, TX)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...Care Coordinator** helps to ensure optimal continuity of care for patients transitioning into and out of our… more
- Centene Corporation (San Antonio, TX)
- …of this position. **Preferred Work Experience:** + 4+ years of direct healthcare or managed care experience in a 100% INBOUND CALL CENTER environment as this ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… 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 ... Primary Care Nurse Practitioner Copperas Cove, TX (http://maps.google.com/maps?q=336+Town+Square+Copperas+Cove+TX+USA+76522) Apply...to federal government service. We aim to deliver high-quality care in a way that upholds the health of… more
- Valor Health (New Braunfels, 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 ... Primary Care Physician - VA employees welcome New Braunfels,...to federal government service. We aim to deliver high-quality care in a way that upholds the health of… more
- Texas Health Resources (Bedford, TX)
- …techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and precertification ... Director Care Transition _Are you looking for a rewarding...1973, Texas Health HEB has been a cornerstone of care in the DFW mid-cities. As a 322-bed, acute-… more
- Centene Corporation (Mcallen, TX)
- …behavioral health hospital, community mental health, substance abuse/ detox recovery treatment, managed care behavioral health, or state social services settings ... days per week.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… 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 ... Primary Care Physician Copperas Cove, TX (http://maps.google.com/maps?q=336+Town+Square+Copperas+Cove+TX+USA+76522) Apply Description...to federal government service. We aim to deliver high-quality care in a way that upholds the health of… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:** This role...is granted as required by law. The **Cost of Care /Provider Contracting Data Analyst Senior** is responsible for providing… more