- MD Anderson Cancer Center (Houston, TX)
- …and identify possible avenues of appeal. * Contact third-party payers, insurance medical directors, case management, and utilization review to request ... and discuss findings with outside auditors. * Collaborate with Case Management and providers to ensure all medical... Case Management and providers to ensure all medical necessity documentation is captured. * Coordinate appeal or… more
- Sedgwick (Houston, TX)
- …changing plans. + Works closely with team members to ensure smooth transition from medical case management into job placement. + Performs other tasks related to ... of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions.… more
- Immigration and Customs Enforcement (Houston, TX)
- …, dental and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed ... facility usually having over 500 beds and/or may have more complex medical housing units (sub-acute inpatient) and/or sustained increased operational tempo due to… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …patients in government vehicles is required. Preferred Experience: Two years of Medical Social Work/ Case Management experience including experience in working ... Rewards of a Allied Health Professional Patient Care Independently performs case finding functions and outreach, identifying and screening patients for psychosocial… more
- Parexel (Austin, TX)
- …+ Actively mentoring Patient Safety Physicians to develop their skills and expertise ** Case report medical review (as applicable)** + Performing medical ... seriousness, listedness / expectedness of reported events. + Providing medical inputs to case processing team +...reported events. + Providing medical inputs to case processing team + Raising appropriate follow-up queries for… more
- Humana (Austin, TX)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by ... a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Austin, TX)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members ... a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Houston Methodist (Houston, TX)
- …temporary and permanent solutions to sight issues based on each patient's specific case and medical history. Analyzes test results to accurately diagnose ... Houston Methodist, the Neuro Opthalmologist position is responsible for providing expert medical care to patients to diagnose and treat visual deficiencies defects… more
- IQVIA (Fort Worth, TX)
- …including but not limited to, the ICU, OR, and Cath Lab. + Ventricular medical device case support, including on call support. + Complete proactive rounds ... new opportunities. This part time position will be responsible for providing case support, patient management, and education to both new and existing accounts… more
- Immigration and Customs Enforcement (Houston, TX)
- …, dental, and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed ... biological and hazardous waste disposal services, air management services, medical and dental equipment inspection and recalibration services, radiology services.… more