- Elevance Health (TX)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Elevance Health (Grand Prairie, TX)
- …clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… 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
- 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 (Fort Worth, TX)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… 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 (Houston, 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
- Baker Construction (TX)
- …workforce utilization , and MBE/SBE participation, and advise the Project Manager of issues. Interface with Safety and Risk Management in establishing clinics, ... job cost summaries, and other reports. Alert the Superintendent and Project Manager of project impact relating to resource management and crew make-up/size. Generate… more
- Global Foundries (Austin, TX)
- …& Security requirements, and programs. + Other duties as assigned by manager . Required Qualifications: + Education - Bachelor's degree in Business Administration , ... and your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for… more
- Elevance Health (TX)
- …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and minimum of… more
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