- Houston Methodist (Sugar Land, TX)
- …the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… 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) + ... May Apply** **Responsibilities** Under the direction of the Chief Nursing Officer (CNO)/ Nurse Manager (if position applies within hospital), the Nurse Supervisor… more
- Veterans Affairs, Veterans Health Administration (Bryan, TX)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic [appointment availability] ( utilization ) to ensure that clinic ... range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social… more
- Sedgwick (Austin, TX)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20...required to include one (1) to three (3) years utilization review experience and three (3) years… more
- Houston Methodist (Houston, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... in mind. + Sterilizes instruments and equipment under the supervision of Sr. Medical Assistant or Registered Nurse . + Contributes to identification of… more
- Houston Methodist (Houston, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... in mind. + Sterilizes instruments and equipment under the supervision of Sr. Medical Assistant or Registered Nurse . + Contributes to identification of… more
- Houston Methodist (Houston, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... At Houston Methodist, the Senior Medical Assistant Certified (Sr. MA) position is responsible...under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality… more
- Houston Methodist (Sugar Land, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible...the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie… more
- Houston Methodist (The Woodlands, TX)
- …for employee engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and ... for the hospital. + Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care… more
- Houston Methodist (The Woodlands, TX)
- …needs for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, ... Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of...hospital. + Secures reimbursement for hospital services by communicating medical information required by all external review … more