- UTMB Health (Galveston, TX)
- …Texas Nurse Practice Act with acknowledgement of off-site collaborating physician availability for consultation and collaboration. + Performs individualized history ... plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + Prescribes… more
- Houston Methodist (Houston, TX)
- …care information and data in a comprehensive manner. + Works with physician leadership and the interprofessional healthcare team for defined patient populations to ... to department staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and… more
- Houston Methodist (Houston, TX)
- …relations contracts for reimbursement billed through managed care including hospital, physician contracts for commercial, Medicare Medicaid, all products ... models situational awareness, using teachable moments to improve safety. + Directs the review of provider contracting rates to ensure strategic focus is on target… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... quality and length of stay. + Address patient complaints, conducts physician education regarding discharge planning, progression of care, documentation of… more
- HCA Healthcare (Jourdanton, TX)
- …appropriate prescribing, route, method of administration, and length of therapy; includes review of allergy history on all patients and weight for weight-based ... and performs all follow-up actions as needed to include timely notification of physician and nurse. 3. Provides continual guidance to technical staff as it applies… more
- Sedgwick (San Antonio, TX)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and...disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business… more
- HCA Healthcare (Irving, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and ... apply for our Home Health PRN Physical Therapist Assistant opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Catholic Health Initiatives (Houston, TX)
- …and Medicare supplemental plans that require pre‐certification. 14. Contact physician 's on scheduled patients, to notify them of authorization requirements and ... obtaining pre‐certification reference number, approved length of stay, and utilization review company contact person and telephone number. 13. Notify hospital Case… more
- Fresenius Medical Center (Cedar Park, TX)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- Houston Methodist (Houston, TX)
- …Office (CBO). This includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response ... processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle operations.… more