- Molina Healthcare (Roma, TX)
- …waiver services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical... case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5… more
- Highmark Health (Austin, TX)
- …both internally and externally.Takes action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law ... a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related… more
- Houston Methodist (Houston, TX)
- …Houston Methodist's overall strategy to become one of the nation's leading academic medical centers. Established as a nonprofit corporation certified by the ... assembly, inspecting, wrapping, and sterilization of surgical instruments and medical equipment for Surgical Services and all ancillary departments, which… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …application of AT Theory and methodology and therapy sessions. - Art Therapy ( Certified ) -Music Therapy ( Certified ) -Drama Therapy ( Certified ) -Recreational ... and objectives in group notes. + Consult with doctors, case managers and nursing staff as needed to provide...Must be appropriately licensed in your respective discipline (ie certified Music Therapist, certified Art Therapist, etc.)… more
- Banner Health (TX)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to ... specific patient types and specialties in combination with the Case Mix Index and case financial information...AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes… more
- 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)
- …Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina ... population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful...with adequate caregiving and functional support, as well as medical and medication oversight as required. + Works with… more
- Sedgwick (Irving, TX)
- … case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… 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
- BrightSpring Health Services (Corpus Christi, 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