- BAYADA Home Health Care (Austin, TX)
- …Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ **As an ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by… more
- BAYADA Home Health Care (Austin, TX)
- …leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- CenterWell (Austin, TX)
- …Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual **Use your skills to make an impact** ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CenterWell (Austin, TX)
- …Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual We offer tangible and intangible benefits such as ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CenterWell (Longview, TX)
- …available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...insurance and many other opportunities. **About Us** About CenterWell Home Health : CenterWell Home … more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …South Texas Veterans Health Care System is currently seeking a Physician ( Home Based Primary Care) to provide high quality patient centered care to Veterans for ... and goals; participate in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality and Patient Safety oversight,… 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
- Evolent (Austin, TX)
- …call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. **What ... **Your Future Evolves Here** Evolent Health has a bold mission to change the...Therapy you will be a key member of the utilization management team. We can offer you a meaningful… 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
- CVS Health (Austin, TX)
- …* Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. **Education** * Active and current ... At CVS Health , we're building a world of health...care resources. **This is a remote based (work from home ) role.** In this role has Medical Director (Behavioral… more