- Elevance Health (Houston, TX)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Evolent (Austin, TX)
- …value- based care and initiatives within pathway, policy, and beyond utilization management solutions. + Introduce innovative initiatives supported with evidence and ... for provider portal, prior authorizations, lists, regimens, scope diagnoses, case review and related activities. + Review of Carepro...serve as the clinical lead (SME) on the Rules Manager Team. + Ability to travel 15% for external… more
- Elevance Health (Corpus Christi, TX)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Assist Care (Jasper, TX)
- …progress. Review evaluation with the care team, patient, family members, physician, and case manager as needed. + Other duties as assigned Requirements: + ... Current Registered Nurse License in the state of Texas + Minimum of one year of experience as a registered nurse. + Previous experience in Geriatric Home Health. + Kinnser experience is a plus. + Ability to speak, read, and write English. + Must have and… more
- Home Care Providers of Texas (Round Rock, TX)
- …patient progress. Review evaluation with the care team, patient, family members, physician, and case manager as needed. + Performs PRN visits, and available on ... call as required (about every 3-4 weeks). + Other duties as assigned. Requirements + Home Health (Geriatrics) experience + Texas Nursing License + Strong organizational and self-management skills + Strong and compassionate customer service skills + Valid… more
- Houston Methodist (Houston, TX)
- …work of a professional nature and coordinates and serves as project manager on complex systems development and enhancement projects, utilizing skills that require ... and efforts. Also leads requirements elicitation workshops. This includes the utilization of various methods design and development in conjunction with developers… more
- CDM Smith (San Antonio, TX)
- …non-technical cross-functional teams. * Implement cost-saving measures and analyze resource utilization to optimize cloud costs. * Work with multi-cultural teams ... Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or...vary based on country statutory law but in no case , will the background check precede an interview. CDM… more
- Houston Methodist (Houston, TX)
- …staff to another room as appropriate, directly informing staff or their manager . + Ensures students, new medical students, residents, and visitors, etc. have ... discusses information with Anesthesia board runner and staff assigned to to-follow case . + Confers with the Lead in Sterile Processing/Materials Management to ensure… more
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