- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... being on the front line, empathetic for patients. At Medical City Dallas our nurses set us apart from...approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay… more
- Select Medical (Fort Worth, TX)
- …and relocation opportunities + Full benefits package for Full-time employees ( Medical , Dental, Vision, 401k, Life Insurance, and Long/Short Term Disability) + ... nursing staff according to job category through observation and review of documentation. + Monitors the implementation of approved...of the nursing process and in the development and utilization of the interdisciplinary care plan for all patients.… more
- HCA Healthcare (Dallas, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Highmark Health (Austin, TX)
- …The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes… more
- Parsons Corporation (San Antonio, TX)
- …Description:** Parsons is seeking a **Program Manager II** to support Naval Medical Research Unit - San Antonio (NAMRU-SA) and its collaborating institutions in ... and Human Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role… more
- Stantec (Plano, TX)
- …client engagements that drive revenue growth - Apply effective Go/No-Go review processes and monitor compliance to ensure consistent decision-making and strategic ... maintained and monitored to inform business development strategies and optimize employee utilization rates Project Focus: - Meet or exceed the direct utilization… more
- CVS Health (Austin, TX)
- …Case management and discharge planning experience + Crisis intervention skills + Managed care/ utilization review experience + Ability to take and manage crisis ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of… more
- Evolent (Austin, TX)
- …team approach with call center staff. Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + ... Nurse, you will be a key member of the utilization management team. We can offer you a meaningful...other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors. **What You Will Be Doing:** + Functions… more
- Evolent (Austin, TX)
- …team approach with call center staff. Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + ... Nurse, you will be a key member of the utilization management team. We can offer you a meaningful...other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors. **What You Will Be Doing:** + Functions… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more