- Edwards Lifesciences (San Antonio, TX)
- …will make an impact:** + Working independently in the areas of valve crimping, case management, pre- case planning, post- case management, 3 Mensio management, ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...and crimping of the Sapien valve in each assigned case ; to support Physicians in the THV procedure to… more
- CenterWell (Austin, TX)
- …experience a plus + Previous experience in chronic disease management, utilization management, case management, discharge planning and/or home health ... us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to...Hours are generally M-F 8-5; flexibility upon request to manager Travel: While this is a remote position, occasional… 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
- ChenMed (Houston, TX)
- …+ Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, therapy suggestions, and more. Our aim is to choose ... appropriateness, including safety and efficacy. + Conducts prospective drug utilization reviews, evaluating proper dosage, usage directions, drug interactions,… more
- Lumen (Austin, TX)
- …world and shape the future. **The Role** As an Inside Sales Lead Generation Manager you're tasked with leading a group of highly motivated and talented Sales ... the key to success of Lumen. The Lead Generation Manager must be passionate about sales and building a...the ability to coach and guide your team in utilization + Ability to excel in a team-oriented, collaborative,… more
- Children's Home Healthcare (Richardson, TX)
- …RN LICENSE* Children's Home Healthcare is now hiring for a Hybrid RN Clinical Supervisor/ Case Manager ! Children's HH is the premier leader in Pediatric Home ... for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional Services.… more
- J&J Family of Companies (Houston, TX)
- …solution and others as needed. This role reports to the US Digital Sales Manager - Digital Spine Surgery and is responsible for maintaining a validated customer sales ... clinical demos, and clinical advocacy efforts + Lead site installation and initial case support with our sales consultant team + Work with Capital Equipment Selling… more
- Elevance Health (Grand Prairie, TX)
- …medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... + Extensive orthopedic surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. For candidates working… more
- Sharecare (Austin, TX)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more
- Houston Methodist (Baytown, TX)
- …**FINANCE ESSENTIAL FUNCTIONS** + With guidance, uses resources efficiently to maximize utilization of time and equipment. Meets graduated standards for CFY. + ... of the department as delegated by the Clinical Supervisor, Rehab Manager or Director. Such activities may include research projects, departmental improvement… more
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