- The Hartford (San Antonio, TX)
- …+ Understanding of PPD rules and requirements, claim management , case management , and/or utilization review methodology preferred + Excellent verbal ... the PPD Clinical Consultant will apply his/her medical expertise to review impairment ratings utilizing AMA and state-specific software supported guidelines. The… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities The Geriatric and Extended Care Medical ... Living Centers, Home Based Primary Care, Hospital In Home, Geriatric Evaluation Management (GEM) clinic and Palliative/Hospice care service as assigned. The medical… more
- Methodist Health System (Richardson, TX)
- …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience...of experience in health related setting * Hospital case management experience preferred Your Responsibilities: * Communicate clearly and… more
- Methodist Health System (Dallas, TX)
- …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience...of experience in health related setting * Hospital case management experience preferred Your Responsibilities: * Communicate clearly and… more
- HCA Healthcare (Jourdanton, TX)
- …appropriate prescribing, route, method of administration, and length of therapy; includes review of allergy history on all patients and weight for weight-based ... reporting of medication variances and overall improvements to the medication management system. Provides general and/or patient specific drug information as required… more
- HCA Healthcare (San Antonio, TX)
- …and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and treatment plan, ... clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical… more
- HCA Healthcare (Houston, TX)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... appropriate patient care. Provides management and/or oversight of scheduling at a center level....+ Bachelor's degree in nursing, required. + (RN) Registered Nurse + 5+ years of clinical experience, required +… more
- Veterans Affairs, Veterans Health Administration (Kerrville, TX)
- …Centers, Home Based Primary Care, Hospital In Home, Geriatric Evaluation Management (GEM) Clinic and Palliative/Hospice Care Service. Responsibilities The Geriatric ... back up for other GEC providers.- Participates in chart reviews, peer review and other process improvement initiatives. The staff will complete training… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …coordinated care delivery model. Coordinates] with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more