- Humana (Austin, TX)
- …in prior authorization, claims , and/or utilization management in healthcare, health insurance, evaluating medical necessity and appropriateness of care + ... **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- InGenesis (El Paso, TX)
- …role, you will process referrals for off-site specialty consults and follow-up medical appointments. If you meet the qualifications outlined below, apply today and ... questions you may have! Responsibilities and Duties: * Prepares, updates, and maintains medical referral. * Coordinates the purchase or rental of durable medical … more
- Royal Electric (Dallas, TX)
- …of employment Visa at this time. We promote a drug free workplace. Benefits + Health Care Plan (3 types of Medical plans, Discounted Dental & Orthodontist ... documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost… more
- Southland Industries (Amarillo, TX)
- **POSITION SUMMARY** Plan, coordinate and implement Brandt's safety, health and environment protection programs, ensuring compliance with corporate safety standards ... . Purposefully monitor, correct and educate the workforce on issues relating to workplace health and safety. . Conduct worker training in areas such as safety laws… more
- HCA Healthcare (Houston, TX)
- …The available plans and programs include: + **Comprehensive benefits** for medical , prescription drug, dental, vision, behavioral health and telemedicine ... will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of records, documents, and… more
- Evolent (Austin, TX)
- …required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted via ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our...either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal… more
- HCA Healthcare (Round Rock, TX)
- …Columbia Oakwood Surgery Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
- Walgreens (College Station, TX)
- …and Healthcare Supervisor. + Develops and maintains good relationships with local medical community including physicians, nurses, and other health care ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, … more
- The Cigna Group (Houston, TX)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external...of The Cigna Group, is an advocate for better health through every stage of life. We guide our… more
- Molina Healthcare (San Antonio, TX)
- …1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License, Certification, Association** ... 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License, Certification, Association… more