• Intake Supervisor RN - Weekend with 7k Bonus

    San Antonio Behavioral Health (San Antonio, TX)
    …up calls are made to those failing to show up for appointments. + Pre - certification is obtained in accordance with insurance requirements. + Administration is ... preferred. Additional Requirements - Must obtain and maintain approved CPR certification as well as successful completion of Satori Alternatives to Managing… more
    San Antonio Behavioral Health (08/08/25)
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  • Case Manager - UM II -100%

    Healthfirst (TX)
    …Management coordinates the care plan for assigned members and conducts pre - certification , concurrent review, discharge planning, and case management as ... management services for assigned member caseloads which includes: + Pre - certification performing risk-identification, preadmission, concurrent, and retrospective… more
    Healthfirst (08/08/25)
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  • Director of Intake Fulltime

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …follow up is made throughout the admissions and assessment process ie pre - certification , on-call doctor notification, administration is notified of problems or ... performance data as required to hospital quality program. Requirements Licensure/ Certification : -Registered Nurse, BSN required or Masters Degree preferred.… more
    Houston Behavioral Healthcare Hospital (07/18/25)
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  • Office Coordinator

    HCA Healthcare (Lewisville, TX)
    …tracking. Assists with and facilitates communications throughout admitting and pre - certification processes. Provides other clerical functions to assure ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
    HCA Healthcare (08/13/25)
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  • Medical Director (South Central Market)

    CVS Health (Austin, TX)
    …predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / ... current Texas state medical license without encumbrances *M.D. or DO, Board Certification in an ABMS or AOA recognized specialty including post-graduate direct… more
    CVS Health (07/18/25)
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  • Intelligence Specialist (Operations)

    US Army Intelligence and Security Command (Goodfellow AFB, TX)
    …Information Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be ... to the National Security Agency; coordinating logistical requirements for pre -examination briefings and polygraph testing at SAP contractors throughout CONUS;… more
    US Army Intelligence and Security Command (08/13/25)
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  • Transplant Health Navigation Coordinator

    Catholic Health Initiatives (Houston, TX)
    …for their transplant appointments. 4. Initiates and follows through on pre - certification requirements, referrals and communication with patient's insurance ... post-operative care appointments. This position also provides organizational support for pre and post transplant patients by ensuring receipt of test results,… more
    Catholic Health Initiatives (08/10/25)
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  • Patient Access Center Representative-Referral…

    Houston Methodist (Katy, TX)
    …to initiate financial clearance activities (benefit eligibility and verification, pre - certification notification and payment review). Documents patient's ... Verifies patient benefits for eligibility. - Efficiently completes registration. - Pre -certifies with insurance companies if necessary. - Answers incoming calls from… more
    Houston Methodist (08/08/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …you are responsible for facilitating and assisting Abbott patients with the pre - certification , pre -determination and authorization process necessary as a ... prerequisite to perform various procedures or forms of therapy based on physician recommendation. **What** **You'll** **Work On** + Responsible for managing multiple cases simultaneously within specific time frames. + Follow all policies and procedures related… more
    Abbott (07/18/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …Management and Patient Access Departments in providing appropriate CPT codes for pre -admission and pre - certification requirements including the inpatient ... only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (eg, Performance Improvement Committees). **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves… more
    Houston Methodist (07/12/25)
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