- Fresenius Medical Center (Houston, TX)
- …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- Fresenius Medical Center (Houston, TX)
- …Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important ... auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic… more
- UTMB Health (Friendswood, TX)
- …trends of inappropriate resource utilization to Director and/or Assistant Director of Utilization Review /Case Management. + Maintains a documentation ... optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical knowledge,… more
- CenterWell (Lubbock, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- HCA Healthcare (Dallas, TX)
- …collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation Specialist works closely with hospital case management ... prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical...Specialist then provides this information to the Rehab Medical Director and responds to any question or request for… more
- Humana (Austin, TX)
- …identified gaps. They will work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality ... thresholds and identify appropriate actions when controls indicate process gaps. + Review appeal overturns and provider complaints about coverage policies to make… more
- Fresenius Medical Center (Olmito, TX)
- …RN license, supervision of nursing staff will be provided by a charge nurse / director of nursing. EDUCATION AND REQUIRED CREDENTIALS: + Bachelor's Degree; ... + Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. + Maintain compliance with… more
- Apex Health Solutions (Houston, TX)
- …care management services appropriate to the member being served. Reports to: Director , Health Services Location: Houston, TX area; will consider remote deployment on ... a case by case basis Education Education: Registered Nurse (RN) LICENSES/CERTIFICATIONS: Registered Nurse (RN) with active license in the state of Texas or… more
- Prime Healthcare (Weslaco, TX)
- …a Quality Assurance RN Coordinator , also referred to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN ... call ### or visit www.KnappMed.org Responsibilities In collaboration with the manager/ director of Performance Improvement, the PI Coordinator RN is responsible for… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities The Geriatric and Extended Care Medical ... and medical issues or concerns to the service medical director . - Participate in the development and implementations of...other GEC providers. - Participates in chart reviews, peer review and other process improvement initiatives. The staff will… more