- Humana (Austin, TX)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- BrightSpring Health Services (Arlington, TX)
- Our Company PharMerica Overview Join our PharMerica team ! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our ... is service excellence and top-quality care come join our team and apply today! Responsibilities + Act as a...resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims + Individual… more
- Humana (Austin, TX)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Humana (Austin, TX)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Texas Health Resources (Southlake, TX)
- …documentation within established time frame. + If appropriate, completes all required team documentation including intake process, plan of care, and discharge ... Texas Health so we are Better + Together_** **Spine Team Texas** **Work location:** 1545 E. Southlake Blvd., Suite...for therapy and validates for appropriateness. + Reviews available medical records and obtains pertinent medical history… more
- BAYADA Home Health Care (Austin, TX)
- …and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) ... documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are… more
- Evolent (Austin, TX)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your ... (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD… more
- Evolent (Austin, TX)
- …(URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- Evolent (Austin, TX)
- …. Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- Evolent (Austin, TX)
- …+ Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a key...will be a key member of the utilization management team . We can offer you a meaningful way to… more