- Cardinal Health (Austin, TX)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... projects, 360 Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date outcomes and progress… more
- Fresenius Medical Center (El Paso, TX)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Fresenius Medical Center (Laredo, TX)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Highmark Health (Austin, TX)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Humana (Austin, TX)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Austin, TX)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- HCA Healthcare (Houston, TX)
- …medical staff, hospital staff, and patients. Provides effective scheduling by management of PODS (Prep Documentation System) and telehealth appointments. Applies ... patients. The PODS/ Telehealth lead scheduler has good communication skills with patients, physician offices, as well as with the staff of the Pre-Admit **What you… more
- ChenMed (Houston, TX)
- …and treatment, development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation ... in collaboration with other health care professionals. Consults with the manager, physician , and medical director to ensure compliance with guidelines. This position… more
- Molina Healthcare (Fort Worth, TX)
- …and/or Tableau and data management + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, claims ... and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports… more
- Houston Methodist (Houston, TX)
- …delegated medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high ... patient care which is under the direction of a physician and within the scope of a medical assistant....visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart. + Provides care coordination… more