- Molina Healthcare (Fort Worth, TX)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
- Catholic Health Initiatives (Lake Jackson, TX)
- …role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...provision of services necessary to meet those needs. The case manager must be knowledgeable in community… more
- Catholic Health Initiatives (Houston, TX)
- …role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...provision of services necessary to meet those needs. The case manager must be knowledgeable in community… more
- CDM Smith (El Paso, TX)
- …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. -...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- ChenMed (Houston, TX)
- …a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation… more
- Prime Therapeutics (Austin, TX)
- …an office or home setting for drug services. + Will actively maintain a required case load and the activities to reach overall goals of switching site of service ... is valued with the program. + Maintains an active case load and accurate case records, adhering...Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates -… more
- Molina Healthcare (San Antonio, TX)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… more
- CenterWell (Arlington, TX)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care, ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
- Baker Construction (Austin, TX)
- …wage, workforce utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk Management in establishing ... field activities and spends a majority of time working with the Project Manager supporting project administration on multiple small projects, or one medium to… more
- Global Foundries (Austin, TX)
- …for indirect tax. This position will report to the US-indirect tax manager . This role involves handling various indirect tax filings, conducting research, assisting ... individual contributor (as directed and/or independently), or as a manager . + Drive ERP set up for indirect tax...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more