- Intermountain Health (Austin, TX)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
- American Electric Power (Pharr, TX)
- …canceled or rescheduled. + Assist higher/ lower-level employees in the development, review , and presentation of statistical reports related to work scheduling and ... adherence, crew utilization , etc. + Assist with the coordination and participate in meetings with other sections/departments covering scheduling, staffing and… more
- MTC (Bryan, TX)
- …disorders. 2. Performs complex technical assistance work; implements quality assurance utilization review procedures; and responds to inquiries regarding ... technical program and administrative rules, regulations, policies, and procedures. 3. Assists in monitoring, reviewing, interpreting, and evaluating quality of services; assists in compiling and analyzing data and preparing reports; and makes recommendations… more
- MTC (San Diego, TX)
- …Functions:** 1. Performs complex technical assistance work; implements quality assurance utilization review procedures; and responds to inquiries regarding ... technical program and administrative rules, regulations, policies, and procedures. 2. Assists in monitoring, reviewing, interpreting, and evaluating quality of services; assists in compiling and analyzing data and preparing reports; and makes recommendations… more
- HCA Healthcare (Houston, TX)
- …and tracking from committees in a timely manner. + Proficient in utilization of appropriate applications, including word processing and computer systems, including ... for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews.… more
- KBR (Houston, TX)
- …the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing credentialing body and local ... and as directed by local HP program manager and/or coordinator . + Document work performed, utilization , encounters, referrals, and all other information in the… more
- CVS Health (Austin, TX)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Dallas, TX)
- …experience required. **Preferred Qualifications** - Crisis intervention skills - Managed care/ utilization review experience - Case management and discharge ... with the member, others in the member's network, and the member's service coordinator . The Transition Specialist is dedicated to counseling and educating members and… more
- HCA Healthcare (Dallas, TX)
- …Apply Today! **Job Summary and Qualifications** This position acts as a coordinator between internal and external referral sources, and acute inpatient rehab ... rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to… more
- Wolters Kluwer (Austin, TX)
- …reviews of content and/or features and functionality. Evaluate customer feedback through review analyses and work with internal and external team members to ensure ... new opportunities discovered in the course of customer interactions. Review and refine the scope of a project throughout...cycle, as needed + In consultation with the Editorial Coordinator for an assigned project, track project status, schedule,… more
Recent Jobs
-
Molding Operator - 2nd Shift
- Repligen (Clifton Park, NY)
-
The GPO Account Executive (GAE) - Southeast
- Eisai, Inc (Sarasota, FL)
-
L3Harris Supply Chain Networking Career Event
- L3Harris (Satellite Beach, FL)
-
Senior Manager, Biostatistics
- Genmab (NJ)