- Centene Corporation (Austin, TX)
- …+ Acts as liaison and member advocate between the member/family, physician , and facilities/agencies. + Educates on and coordinates community resources. Provides ... Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire… more
- ChenMed (Houston, TX)
- …telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness. ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- HCA Healthcare (Austin, TX)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both inpatient and ... with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition. + You will partner with Social… more
- HCA Healthcare (Denton, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: + Performs a comprehensive ... with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition + In partnership with Social… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …and demonstrates understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room processes. Understands ... considered a restraint; Complete wound care treatment as ordered by physician . Including documentation and assessment for preventative wound care treatment; Maintain… more
- Cognizant (Austin, TX)
- …minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + ... Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare… more
- UTMB Health (League City, TX)
- …and systems to facilitate excellent patient care outcomes and patient, staff and physician satisfaction. + Oversees patient flow in patient care and support areas. + ... policies, and operational procedures, resolving problems related to staffing, and utilization of facilities, equipment and supplies, as required. + Facilitates… more
- Houston Methodist (The Woodlands, TX)
- …Holds assigned staff accountable for restocking. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the ... services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened… more
- YesCare Corp (Waxahachie, TX)
- …review of quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies Regional Medical Director ... measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. **YesCare Benefits** (only applicable… more
- Houston Methodist (Houston, TX)
- …minimizing incidental overtime. Actively participates in the stewardship and efficient utilization of resources and needs including unit capital and operational ... a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities.… more