• Non-Clinical Coding and OASIS Review

    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 (07/01/25)
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  • Clinical Coding and OASIS Review Manager

    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
    BAYADA Home Health Care (07/01/25)
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  • Staff Utilization Management Pharmacist

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ​ **Additional Information:** **Interview Format**… more
    Humana (08/13/25)
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  • Utilization Management Nurse

    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 (08/08/25)
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  • Utilization Management Administration…

    CenterWell (Austin, TX)
    …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... part of our caring community and help us put health first** The Utilization Management (UM) Administrative...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
    CenterWell (08/13/25)
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  • Utilization Management Nurse

    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 (08/02/25)
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  • Clinical Manager, Home Health

    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
    CenterWell (08/08/25)
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  • Physician ( Home Based Primary Care)

    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 (07/15/25)
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  • Physician - Geriatrics Hospital In Home

    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
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Clinical Review Nurse

    Actalent (San Antonio, 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
    Actalent (08/01/25)
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