• Care Review Clinician, PA (RN) Transplants

    Molina Healthcare (San Antonio, TX)
    …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare (Houston, TX)
    …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and… more
    Molina Healthcare (08/20/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Houston, TX)
    …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... holidays. **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and… more
    Molina Healthcare (08/16/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (TX)
    …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and… more
    Molina Healthcare (08/08/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Austin, TX)
    …Stays current in specific areas of focus. Provides education and guidance to service line leadership, providers , and front line clinical associates regarding ... 8. Ensures timely accuracy of revenue capture for a specific service line(s), including validation that documentation supports charges submitted, all charges/coding… more
    Intermountain Health (08/13/25)
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  • Quality Control Inspector - Fleet Management (FM)…

    V2X (Fort Worth, TX)
    …be amended or added to as needed by the organization: + Upon completion of service by maintenance providers , the FM QC Inspector reviews verify and accept ... at the level of making airworthiness and return to service decisions. + Able to demonstrate a working knowledge...is desired)_ of applicable regulations for the return to service of maintenance, preventative maintenance, or alterations of articles… more
    V2X (08/02/25)
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  • LTSS Service Care Manager

    Centene Corporation (Dallas, TX)
    …plan for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers , specialist, and/or community ... quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care members and… more
    Centene Corporation (08/30/25)
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  • Field Case Manager-Sign-On Bonus Eligible

    Sedgwick (Austin, TX)
    …advocacy, communication, education, identification of service resources and service facilitation. + Identify appropriate providers and facilities throughout ... Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work;… more
    Sedgwick (08/27/25)
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  • Driver / Medical Transportation Provider

    Provado (Houston, TX)
    …Transportation Services. With our Mobile Health Network of professional and private transportation providers , we service a large community of members of select ... minutes). + Complete and pass a complimentary CTAA Passenger Service and Safety Basic online training course (30 to...their own vehicles to serve as independent Mobile Care Providers , driving members of select health plans to and… more
    Provado (07/08/25)
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  • Field Case Manager-Sign-On Bonus

    Sedgwick (Houston, TX)
    …advocacy, communication, education, identification of service resources and service facilitation. + Identify appropriate providers and facilities throughout ... Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work;… more
    Sedgwick (06/29/25)
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