- Texas Health Resources (Dallas, TX)
- …Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than ... AUDITS AND MONITORING: Develop, coordinate and oversee annual internal compliance review and monitoring work plan including processes and controls to provide… more
- UTMB Health (Galveston, TX)
- …ASSISTANT** **EDUCATION & EXPERIENCE** **Minimum Qualifications:** + Completion of a physician assistant program accredited by the Accreditation Review ... **JOB SUMMARY** Performs responsible clinical care in collaboration with the unit physician and under approved protocols, manages the medical aspects of care in… more
- Evolent (Austin, TX)
- …is a key member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical Directors and interacts with ... well as health plan members and staff whenever a physician `s input is needed or required. Responsible for clinical...Manager. + Provides medical direction to the support services review process. Responsible for the quality of utilization … more
- UTMB Health (Galveston, TX)
- …ASSISTANT** **EDUCATION & EXPERIENCE** **Minimum Qualifications:** + Completion of a physician assistant program accredited by the Accreditation Review ... **JOB SUMMARY** Performs responsible clinical care in collaboration with the unit physician and under approved protocols, manages the medical aspects of care in… more
- Houston Methodist (The Woodlands, TX)
- …improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Cypress, TX)
- …improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- Molina Healthcare (Houston, TX)
- …appeals and supporting market performance. Performance activities include physician auditing, training, and performance improvement activities. Additionally, they ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more
- Texas Health Resources (Arlington, TX)
- …patient care and maintained quarterly Required **What You Will Do:** . Obtain/verify physician order for therapy and validate for appropriateness. . Review ... aspects of assessment and plan of care in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines. . Documents all aspects of each… more
- HCA Healthcare (Austin, TX)
- …patient goals and maintain high quality patient care. Performs in accordance with physician 's orders and under the supervision of the Clinical Manager. **What you ... indicate continuing communication and coordination of services with the physician , other interdisciplinary team members and patient/family/caregiver. + Communicates… more
- Humana (Austin, TX)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
Recent Jobs
-
Licensed Practical Nurse (LPN) - Wound Treatment FT 3p-11p
- County of Northampton (Nazareth, PA)