- BrightSpring Health Services (Denton, TX)
- Our Company ResCare Community Living Overview Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If ... to apply today! Responsibilities + This position will compile, process, and maintain medical records, of person(s) served in a manner consistent with medical ,… more
- CVS Health (Austin, TX)
- … Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs… more
- CVS Health (Austin, TX)
- …**Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs ... transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local...(work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...+ Coordinating and evaluating the service delivery between the company , partners, and vendors. + Member of a client… 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
- Cordis (Houston, TX)
- …scientific and medical information between KOLs, other investigators and the company 's Medical Affairs, Marketing and R&D groups. + Propose strategic ... SFA, and Peripheral BTK), Cordis is leading the way in delivering transformative medical solutions. At Cordis, we're teammates, not just employees. We embrace an… more
- CenterWell (Abilene, TX)
- … Medical Social Worker works within CenterWell Home Health's company -specific policy and procedures, applicable healthcare standards, governmental laws, and ... caring community and help us put health first** The Medical Social Worker participates in the interdisciplinary care provided...+ Maintains and submits documentation as required by the company and/ or facility including any case … more
- Travelers Insurance Company (Richardson, TX)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. + ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- Houston Methodist (Nassau Bay, TX)
- …treatment outcomes and affect positive patient and family outcomes. This position uses case management skills to help patients and their families address and resolve ... their health condition. The SW II PRN position holds joint accountability with case manager, assuring that psychosocial and continuing care issues are addressed and… more
- CenterWell (Fort Worth, TX)
- …part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical… more