• Utilization Management Representative III

    Elevance Health (San Antonio, TX)
    …for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of initial authorized set. + Assisting management by ... diploma or GED and a minimum of 3 years of experience in customer service experience in healthcare related setting; or any combination of education and experience… more
    Elevance Health (08/12/25)
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  • Patient Sitter- PRN

    Texas Health Resources (Kaufman, TX)
    …30 plus years + Nursing Support Staff have their own Monthly Meeting with Nurse Manager + Cross Team Functionality with other departments Here's What You Need + HS ... being a Texas Health Patient sitter + Benefits include 401k, Employee Assistance Program (EAP), Discount Programs, as well as other benefits. + Delivery of… more
    Texas Health Resources (08/08/25)
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  • Director, Appeals & Grievances (Medicare)

    Molina Healthcare (TX)
    …regarding A&G operations and dependencies. * Responsible for the A&G department service levels to include internal and external reporting requirements. * Reviews and ... and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare Duals, Appeals &… more
    Molina Healthcare (07/20/25)
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  • Healthcare Systems Business Specialist

    Astellas Pharma (San Antonio, TX)
    …healthcare systems, such as the Healthcare Providers and support staff, Service Line Managers, Specialty Pharmacists, Fellows, Hospitalists, Transition of Care ... and understanding of Healthcare Systems, market dynamics, stakeholder mapping, inpatient/ outpatient network navigation. This includes developing and executing Strategic… more
    Astellas Pharma (07/16/25)
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  • Trauma Clinician/Coordinator (RN) - Trauma (Full…

    Texas Health Resources (Dallas, TX)
    …involvement and decision making in process of patient care. . Collaborate with manager and educator or CNS to provide staff orientation, education and on-going ... century as one of the region's most established hospitals. As an 875-bed, full- service hospital, we've served the Dallas community and surrounding areas since 1966… more
    Texas Health Resources (05/21/25)
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