- Highmark Health (Austin, TX)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse /Licensed Practical Nurse . ... centered conferences/shift reports, and contributing information for the development and review of the nursing care plan. Maintain a therapeutic environment for… more
- Cardinal Health (Austin, TX)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to… more
- Highmark Health (Austin, TX)
- …to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and ... of cultural competency in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or NY is required. Other… more