- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …measures, and participation in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality, and Patient Safety ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- MTC (Anson, TX)
- …and render treatments appropriate to clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; ... Full time, Monday - Friday, day schedule** **Benefit package includes:** + ** Medical , Vision, Dental, and Prescription Drug Benefits** + **Life, Accidental Death and… more
- MTC (Raymondville, TX)
- …render treatments appropriate to clinical impressions. 2. Inspect, complete and analyze medical records, assign review and update medical classifications; ... schedule: Full-time, Monday - Friday, days** **Benefit package includes:** + ** Medical , Vision, Dental, and Prescription Drug Benefits** + **Life, Accidental Death… more
- Guidehouse (Lewisville, TX)
- …receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine ... PC skills in a Windows environment. + Knowledge and utilization of desktop applications to include Word and Excel....creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- HCA Healthcare (Live Oak, TX)
- …will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in… more
- Centene Corporation (Austin, TX)
- … management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician... review studies and evaluates adverse trends in utilization of medical services, unusual provider practice… more
- Evolent (Austin, TX)
- …education and findings with matrixed Physician Business Manager. + Provides medical direction to the support services review process. Responsible for the ... of the Medical leadership team, providing timely medical review of service requests. Oversees the...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician… more
- Molina Healthcare (Austin, TX)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease ... productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy … more
- Houston Methodist (Cypress, TX)
- …procedures related to quality and patient safety. + Serves as liaison with medical staff to assure appropriate utilization of hospital services/resources and as ... Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain… more
- Catholic Health Initiatives (Houston, TX)
- …Additional market accountabilities as the MCMO include patient safety, patient experience, physician engagement, physician recruitment, and medical staff ... **Responsibilities** The Market/ Baylor St. Luke's Medical Center Chief Medical Officer (MCMO)...safe patient care through oversight of all aspects of physician performance, quality, and clinical integration. Specifically responsible for… more