- Humana (Austin, TX)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... **Become a part of our caring community and help us...and help us put health first** The UM Administration Coordinator contributes to administration of utilization management.… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us...in an acute care setting + Previous experience in utilization management/ utilization review for a ... put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- CenterWell (Austin, TX)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... **Become a part of our caring community and help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM… more
- Humana (Austin, TX)
- …utilizing electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... + Knowledge of Medical Terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
- HCA Healthcare (Irving, TX)
- …your career path, we encourage you to apply for our RN Quality Outcomes Coordinator opening. We review all applications. Qualified candidates will be contacted ... **Description** **Medical City Las Colinas** **RN Quality Outcomes Coordinator ** **Full Time, Days, No Weekends** Do you...to join Medical City Las Colinas which is a part of the nation's leading provider of healthcare services,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinic Coordinator is a multifaceted clinic based role which, in conjunction, with management, organizes the daily activities of the clinic ... and verify eligibility for care. Other duties for the Clinic Coordinator position include independently and expertly performing the duties and responsibilities… more
- Post Holdings Inc. (Wilmer, TX)
- …the most important meal of the day. Our cereals have become a trusted part of daily routines, helping spark conversations, fuel busy mornings, and create everyday ... furry four-legged family members, who have recently become a part of our story. As families have evolved, so...Expertise** + Evaluate and make recommendations related to space utilization in campus DC's that store aged/wasted items. +… more
- HCA Healthcare (Houston, TX)
- …Assistance Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee Benefits ... from committees in a timely manner. + Proficient in utilization of appropriate applications, including word processing and computer...most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the… more
- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... as a RN Case Manager (also known as Care Coordinator , Erickson Advantage at Erickson Senior Living) that will...continuing care retirement community in North Dallas, Texas. We're part of a growing national network of communities managed… more
- HCA Healthcare (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review , compliance with requirements of external review agencies ... Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other… more