- Providence (TX)
- …to address coverage + Set appropriate indemnity and expense reserves + Select appropriate medical experts for case review + Develop a plan of action for ... must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Houston Methodist (The Woodlands, TX)
- …+ Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess ... At Houston Methodist, the Case Manager (CM) position is a registered nurse...safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- HCA Healthcare (Live Oak, TX)
- …corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities + ... recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness + You...equivalent) in a large, complex hospital or regional health system preferred + Current and clear medical … more
- Humana (Austin, TX)
- …obtain within the first year of hire. + Experience in Acute inpatient hospital case management. + Experience with Medical /Behavioral Health Case Management ... first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral Health … more
- Baylor Scott & White Health (Dallas, TX)
- …clinical care documentation. + Computer literacy, especially in Microsoft Office and medical documentation systems . + Case management certifications, such ... Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well....**Job Summary** + You will review patient cases for medical necessity and establish service suitability. You'll educate the… more
- Ethos Veterinary Health (Houston, TX)
- …of patient care standards in support of providing the highest level of medical case management. + Knowledge of client communication standards to provide ... scanning + Typing on a computer keyboard + Performing general function of the phone system + Data entry of imaging requests and creating report requests as needed +… more
- Molina Healthcare (Fort Worth, TX)
- …+ Manages staff caseloads and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, ... fields). + Oversees the staff use of the electronic case management documentation system in compliance with...management experience. **Required Experience** 3 or more years in case management, disease management, managed care or medical… more
- Methodist Health System (Dallas, TX)
- …professional growth * Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas' best places to work. And it keeps getting ... better. The flagship hospital of Methodist Health System , Methodist Dallas is a 595-bed acute care teaching...health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has… more
- Datavant (Dallas, TX)
- …responsibilities** + Visit various provider offices to scan or upload the assigned medical record charts, utilizing various EMR systems and using your Datavant ... + Access and manage your weekly schedule through Datavant systems , ensuring all appointments are confirmed and tracked and...+ Ability to roll and lift a 45lb equipment case for medical chart retrievals or maneuver… more
- Houston Methodist (Houston, TX)
- …management to implement strategies to prevent future denials. + Integrates the payer medical policies, case specific medical documentation, and claims ... denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** +… more
Recent Jobs
-
Retail Sales Associate-Town Center at
- Bath & Body Works (Aurora, CO)
-
Diagnostic Electrician
- Freeport-McMoRan (Bagdad, AZ)
-
Account Executive (West)
- Verint Systems, Inc. (Augusta, ME)
-
Senior Information Technology Analyst I - Virtual Care
- St. Luke's University Health Network (Allentown, PA)