- Molina Healthcare (Austin, TX)
- …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Progress Rail Services Corp. (Sherman, TX)
- …work practices; * Must be able to meet the requirements of post-offer drug test, medical review and criminal history review of misdemeanor and/or felony ... company match (no waiting period with immediate vesting) + Medical /Dental/Vision/Life/Disability Insurance + Supplemental Accident, Critical Care, and Hospital… more
- Datavant (Austin, TX)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide… more
- Texas Health Resources (Plano, TX)
- …specialists, elected officers and the Chair of Credentials Committee to coordinate medical staff credentialing including the review of credentials, delineation ... regulatory surveys. a. Work with the quality department and medical staff leadership to conduct robust peer review... medical staff leadership to conduct robust peer review . b. Support the Quality Department and Medical… more
- Datavant (Austin, TX)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- Texas Health Resources (Cleburne, TX)
- …Cleburne's Quality Assurance Performance Improvement (QAPI) plan. Oversees and facilitates Medical Staff Peer Review , including Ongoing Professional Practice ... Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE). Assists Medical Staff with organizing Peer Review cases and completing follow-up… more
- HCA Healthcare (El Paso, TX)
- …coordinators + Facilitate ongoing readiness for the Accreditation Council for Graduate Medical Education (ACGME) Annual Institutional Review by assisting in the ... encourage you to apply for our Director of Graduate Medical Education opening. We promptly review all...of Graduate Medical Education opening. We promptly review all applications. Highly qualified candidates will be directly… more
- BP Americas, Inc. (George West, TX)
- …contingent upon adherence to local policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background checks. ... + Leadership and team development. + Project management and engineering design review . + Strong analytical and problem-solving skills. + Excellent communication and… more
- BP Americas, Inc. (Houston, TX)
- …contingent upon adherence to local policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background checks. ... metrics reports to track performance and identify trends. + Independently review , investigate, and follow up on operational requests and issues. **Qualifications**… more
- BP Americas, Inc. (Orla, TX)
- …contingent upon adherence to local policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background checks. ... + Supports the handover, management of change (MOC) and pre-start-up safety review processes. + Understands and applies relevant policies in the Operating Management… more