- Medical Center Hospital (Odessa, TX)
- …reviews processes, including the collection and analysis of various computer-based data related to Utilization Review , Care Coordination, and Commercial Insurance. ... + Position Summary: Assists UM Department with utilization… more
- Textron (Fort Worth, TX)
- **Material Review Inspector** **Description** Work Performed: Reviews, evaluates and determines the proper disposition of non\-conforming parts and assemblies\. ... Ensures compliance with Company, FAA and DOD specifications and procedures\. Coordinates with Engineering and customers to assure delivery of safe, reliable and acceptable products\. Performs related tasks and inspection at any stage to determine conformance… more
- Molina Healthcare (Dallas, TX)
- …+ Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as ... eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges, and billing codes. + Responds to requests for… more
- Molina Healthcare (Fort Worth, TX)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all ... current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE)… more
- Terracon (Lubbock, TX)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- Sumitomo Pharma (Austin, TX)
- …team based in the US. He/she will primarily function as the Regulatory reviewer for assigned products. This position is responsible for providing strategic, expert ... limited coaching and mentoring. **Job Duties and Responsibilities** Advertising & Promotion Review Activities + Review and approve materials that comply with… more
- Evolent (Austin, TX)
- …Reviewers. **What You Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- BrightSpring Health Services (San Angelo, TX)
- …reviews, including, but not limited to Site Reviews, Record Reviews and review of other quality monitoring and improvement activities. + Completes documentation of ... operational review activities thoroughly and timely. + Prepares detailed summary...+ Maintains certification for company signature programs (YSIS, Site Reviewer , QIDP, etc.) + Supervises entry level QA position,… more
- The Hartford (San Antonio, TX)
- Medical Reviewer - CT08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... the PPD Clinical Consultant will apply his/her medical expertise to review impairment ratings utilizing AMA and state-specific software supported guidelines. The… more
- Evolent (Austin, TX)
- …or required. **What You Will Be Doing:** + Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more