- CVS Health (Austin, TX)
- …in claim and payment policies and administration, operational, and clinical policies. **Preferred Qualifications** Adept at execution and delivery (planning, ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- Takeda Pharmaceuticals (Austin, TX)
- …sales goals and product positioning goals within target accounts + Provide on-label clinical data to influence appropriate use of assigned product + Initiate and ... geographic area desired + Previous oncology selling experience + Large account management experience in oncology with emphasis on key large oncology community… more
- AccentCare, Inc. (Mckinney, TX)
- …+ Coordinates care activities including visit scheduling, medication management , physician collaboration, and interdisciplinary communication to ensure continuity ... as needed, and participates in IDG meetings, patient conferences, and ongoing clinical education + Supports pre-hospice services by evaluating patient status via… more
- MD Anderson Cancer Center (Houston, TX)
- …address concerns. Actively engage in performance improvement initiatives and educational program implementation. Assume Patient Flow Manager responsibilities in ... administrative and operational needs during assigned shifts, collaborating closely with the Manager of Patient Flow and other business and medical leaders within the… more
- Houston Methodist (Houston, TX)
- …review functions through point of entry, observation progression of care management , concurrent review and denials reviews. Additionally, the URSN will prospectively ... determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan...prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as… more
- Veterans Affairs, Veterans Health Administration (Arlington, TX)
- …to Veterans within our geographic region. Responsibilities The scope of the MCA program is to ensure that each patient is provided high quality health care ... the effectiveness and success of the VISN 17 MCA Manager in supporting the goals of the system and...VERA data and generate complimentary VERA reports to support Management Decisions. The incumbent will provide VISN and Facility… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Director, Comprehensive Care Management (CCM) is a System Director responsible for planning, developing, and implementing the comprehensive care ... of Baylor Scott and White Health (BSWH), which may include case management , social services, coordination of patient care, patient access, utilization management… more
- Gentiva (Addison, TX)
- …Services.** We are seeking a compassionate and experienced Advanced Illness Management (AIM) **Palliative Registered Nurse (PRN)** to join our team. Reporting ... team members and support hospice referral as appropriate. + Document timely clinical records including assessments, progress notes, care plans, physician orders, and… more
- Gentiva (Athens, TX)
- …and skilled Afterhours Registered Nurse (RN) to join our Advanced Illness Management (AIM) team. In this vital palliative care role, you'll provide after ... hours clinical support to patients and families facing serious illness-through...person visits + Knowledge of palliative care principles, symptom management , and patient advocacy + Strong assessment and critical… more
- CenterWell (Austin, TX)
- …A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + ... DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current… more