- Houston Methodist (Houston, TX)
- …office, and the Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee (RRC). + Assists with data collection for the Residency ... the department on the Graduate Medical Education Committee (GMEC), GME Internal Review Panel and/or other designated department or GME committees. + Identifies and… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... patient information. Completed work should need only a general review by a registered nurse or medical provider for...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure ... of electronic and manual documentation, coding, and billing systems. . + Review , assess, study, and analyze the overall coding, billing, documentation, and… 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, ... associated actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and… more
- Veterans Affairs, Veterans Health Administration (Bonham, TX)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Houston Methodist (Katy, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, in services, influenza immunization, wage and hour,… more
- Humana (Austin, TX)
- …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or from other accrediting ... diagnostic use and to emphasize the aspects of interest to the physician . Reference: For more information on this qualification standard, please visit… more
- Houston Methodist (Houston, TX)
- …information technology goals and objectives are met. This position supports the review and analysis of contracts for accuracy, completeness, and compliance with ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more