- Sedgwick (Irving, TX)
- …of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures + ... Employer Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation… more
- Valor Health (Denton, TX)
- …of the medical record within 24 hours of a patient encounter. + Solicits medical management consult or input when appropriate. + Will comply with all VA ... time a week. + Great support system through clinic management peers, HR, Recruiting department, all the way up...of Veterans Affairs. We provide a full range of medical services to veterans through the operations… more
- Molina Healthcare (Austin, TX)
- …increases in quality scores. + Offers a positive leadership role in key medical management initiatives and analytical studies aimed at optimizing utilization of ... **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary...oversight monitoring + Oversees and directs the rendering of medical management decisions at all levels of… more
- Aveanna Healthcare (Austin, TX)
- …Minimum Education: High school diploma or GED * Preferred Education: Associates Degree in medical office management or related * Minimum Experience: Two years in ... Preferred Certification/License: None Preferences * Preferred Education: Associates Degree in medical office management or related * Preferred Experience:… more
- The Hartford (San Antonio, TX)
- …Resolution and Settlement Strategies, Efficient, Timely and Accurate Investigations and Medical Management are responsibilities of this position. The position ... Possess superior analytical and critical thinking skills, expert knowledge of complex medical terms, excellent time management abilities + Properly apply… more
- Baylor Scott & White Health (Temple, TX)
- …of a strategic plan for pharmacy operations. This includes an integrated pharmacy and medical management model. It will reshape the care delivery system and ... for BSWH Health Plan pharmacy. Plans and directs pharmacy services programs and activities. This may include service...to managing and evaluating the BSWH pharmacy function and services . Advises BSWH leadership, medical staff, departments,… more
- Sedgwick (Austin, TX)
- …and procedures to assure compliance to best practices, clinical management services standards, state regulations, and client service requirements. + Monitors ... efficient, cost effective, and high quality delivery of case management and utilization review services to clients...education and experience required to include five (5) years medical case management , five (5) years clinical… more
- Sedgwick (Dallas, TX)
- …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability **ESSENTIAL FUNCTIONS and… more
- Elevance Health (Houston, TX)
- …skills, problem-solving skills, facilitation skills, and analytical skills. + Knowledge of the medical management process and the ability to interpret and apply ... or service issues. + Assists with development of utilization/care management policies and procedures. **Minimum Requirements** + Requires BA/BS in a health… more
- Surgery Care Affiliates (Fort Worth, TX)
- …support person. + Providing education regarding the expected psychosocial response, nutritional management , medical management , pain management , wound ... surgical hospitals. Our work spans a broad spectrum of services , all designed to support physicians, health systems and...seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement… more