- BAYADA Home Health Care (Austin, TX)
- …should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ ... Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome… more
- BAYADA Home Health Care (Austin, TX)
- …with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- CenterWell (Longview, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Actalent (Houston, TX)
- …of cases. Essential Skills + Experience in utilization management, concurrent review , prior authorization, utilization review , case management, and ... planning. + Proficiency with InterQual. + Active Compact RN License. + Utilization Management/Concurrent Review experience. + ICU/ER experience. + Strong… more
- Evolent (Austin, TX)
- …call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. **What ... Therapy you will be a key member of the utilization management team. We can offer you a meaningful...outcomes. **Collaboration Opportunities: ** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …and goals; participate in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality and Patient Safety oversight, ... Veterans Health Care System is currently seeking a Physician ( Home Based Primary Care) to provide high quality patient...other GEC providers. - Participates in chart reviews, peer review and other process improvement initiatives. The staff will… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …and goals; participate in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality and Patient Safety oversight, ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities The Geriatric and...under the different services such as Community Living Centers, Home Based Primary Care, Hospital In Home ,… more
- CommonSpirit Health (Houston, TX)
- …position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... objectives for providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely with case and… more