- CVS Health (Austin, TX)
- …+ Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
- Molina Healthcare (TX)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from ... position and productivity is important. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience._ _This role… more
- Houston Methodist (Houston, TX)
- …desired treatment outcomes. The SW I position holds joint accountability with Case Manager for discharge planning and continuity of care, assuring that psychosocial ... Facilitates discharge planning activities for assigned patients and collaborates with the case manager and other members of the interprofessional health care team,… more
- CenterWell (Lubbock, TX)
- …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... the decision to admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to promote more effective… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... but not required. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Austin, TX)
- …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Sedgwick (Irving, TX)
- … case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... claims based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to… more
- Methodist Health System (Dallas, TX)
- …analysis of medical records for patients and determines eligibility for case reporting & abstraction; Maintains listing of cases to be coded and abstracted; ... responsible for clinical data abstraction that includes but not limited to case finding, abstracting clinical and quality variables, and reporting based on clinical… more
- Sedgwick (Irving, TX)
- … case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... claims based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to… more
- BrightSpring Health Services (Beaumont, TX)
- …and informs physician, case manager, and families of changes in client's medical condition and needs + Orders supplies and medications, as needed, to ensure ... care according to each patient's needs. Interviews patients and records their medical history and physical condition. Obtains patient vital signs, including pulse,… more