- Elevance Health (TX)
- …preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical information ... I - CareBridge Acute** is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various… more
- Boehringer Ingelheim (San Antonio, TX)
- **Compensation Data ** This position offers a base salary typically between $140,000 and $222,000. The position may be eligible for a role specific variable or ... managed care strategies, customer development, selling skills, territory analysis and management , regional point for regional analysis etc.), GPO support and pull… more
- Datavant (Austin, TX)
- …judgment in the performance of job responsibilities. + Communicate with co-workers, management , and hospital staff regarding clinical and reimbursement issues. + ... Datavant is a data platform company and the world's leader in...+ Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship… more
- Houston Methodist (Houston, TX)
- …high-quality information technology implementation and operation. Oversees the Information Technology/ data management initiatives of the department, prioritizing ... relative to Cardiovascular Imaging services and its activities, maintaining clinical and management knowledge to advance the...affecting the department and works with medical director and manager of the specific area to understand and affect… more
- Houston Methodist (Houston, TX)
- … and completion of projects within the department, tracking and documenting data management , project progress and maintaining accurate project record files. ... Updates actual progress and forecasts remaining work schedule. + Performs data management and analysis with little supervision. Conducts data analysis and… more
- CenterWell (Port Arthur, TX)
- …represents the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance ... The Quality RN Professional is responsible for the development, implementation and management oversight of the Primary Care Organization's Stars Program in the… more
- HCA Healthcare (Houston, TX)
- …and completes Audit sheets and/or incidence reports as appropriate. + Upload ADC data for data management software/diversion surveillance/ADC optimization + ... duties and/or leadership roles as assigned by the pharmacy management team. **What you will do in this role:**...timely manner as assigned + Assists the pharmacists in clinical reviews as assigned (ie medication reconciliation, triaging reports,… more
- Highmark Health (Austin, TX)
- …medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...Associate's Degree + 3 years with claims processing and data management + Past auditing and strong… more
- ChenMed (Houston, TX)
- …issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role ... provides remote clinical advice and assessments within license and as possible...computer system to record and store comprehensive and focused data relating to the health needs of patients and… more
- OnesourcePCS, LLC (San Antonio, TX)
- …of all aspects of refractive surgery and the pre-operative and post-operative management of refractive surgery patients. + Knowledge of clinic regulations, policies, ... records in order to search the record to extract medical information and data relevant to patient care. + Knowledge required requisitioning equipment, supplies, and… more