- Houston Methodist (Sugar Land, TX)
- …a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using ... nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other state agencies. In addition to performing the… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- Summary The incumbent in this position functions as the Case Manager for El Paso VAHCS's HUD-VASH Program. The HUD-VASH Program falls within the Healthcare for ... in Behavioral Health Services. The incumbent is responsible for coordination of case management services for Veterans receiving housing provided through HUD Housing… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …safety plans. Develops and implements evidence-based treatment interventions. Provides case management, connecting veterans to resources and support services. ... program evaluation and quality improvement efforts. Attends team meetings, case conferences, and administrative discussions. Completes required training and… more
- Molina Healthcare (San Antonio, TX)
- …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud… more
- Kestra Medical Technologies, Inc (The Woodlands, TX)
- …team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by ... employed by this company unless they are directly involved with the patient's case . COMPETENCIES + Passion: Contagious excitement about the company - sense of… more
- Datavant (Abilene, TX)
- …five-day training program begins upon hire) + Ability to roll and lift a 45lb equipment case for medical chart retrievals or maneuver a 25lb soft case . ... various provider offices to scan or upload the assigned medical record charts, utilizing various EMR systems and using...the ability to drive and have a valid driver's license in good standing + Must have reliable internet… more
- Medtronic (Dallas, TX)
- …territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role, which also involves travel outside the ... for broader engagement. Bring your sales talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven… more
- CommonSpirit Health (Houston, TX)
- …of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health care ... of health care services. The PA communicates remotely with case and utilization management to discuss selected cases and...level of care, as well as, communicates remotely with medical staff members and medical directors of… more
- Texas A&M University System (Gonzales, TX)
- …at TVMDL are required to obtain either a full license or a special license from the Texas Board of Veterinary Medical Examiners (TBVME). + TVMDL employees ... Job Title Resident Director - Gonzalez Agency Texas A&M Veterinary Medical Diagnostic Laboratory Department Gonzales Proposed Minimum Salary Commensurate Job… more
- Elevance Health (Grand Prairie, TX)
- …**How you will make an impact:** + Serves as a resource for medical management programs. + Identifies and recommends revisions to policies/procedures. + Ensures ... of licensed clinicians and non-clinical support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services;… more