- US Tech Solutions (San Antonio, TX)
- …Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. (5%) 6. ... **Position Summary:** The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization… more
- HCA Healthcare (Mckinney, TX)
- **Description** **Medical City McKinney** ** Clinical Pharmacist, Intensive Care Unit ( Specialist )** **Monday - Friday 6:00 AM - 2:30 PM, with rotating weekends ... Clinical Pharmacist is responsible for providing general clinical and operational pharmacy services. This includes...growth, we encourage you to apply for our ICU Clinical Pharmacist opening. We promptly review all… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- Summary The Clinical Pharmacist s the primary specialist in clinical and distributive functions within the clinic pharmacy . Incumbent acts as the ... Pharmacy : https://youtube.com/embed/Fn\_ickNBEws Duties outlined are at the GS-12 Clinical Pharmacist. A pharmacist in this assignment handles routine… more
- Molina Healthcare (Austin, TX)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term services and… more
- CenterWell (Corpus Christi, TX)
- …leading clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to ... and operational insights, including capital and operational budgeting, and monitor clinical & financial performance and metrics. * Review clinician schedules… more
- Molina Healthcare (Dallas, TX)
- …member benefits, and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ... Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review . + Communicate and participate in meetings… more