- CenterWell (Austin, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees...performance and proactively bring issues to the forefront for review + Support new business implementations with a goal… more
- Catholic Health Initiatives (Pasadena, TX)
- …impairments, functional limitations, disabilities, or changes in physical function and health status resulting from injury, disease, or other cause; Provides ... prevention and wellness services, including screenings and health promotion. Develop and update appropriate plan of care in collaboration with the patient/family and… more
- Humana (Austin, TX)
- …quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization,… more
- Catholic Health Initiatives (Pasadena, TX)
- …Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to, patient care charting, ... systems to support departmental and hospital goals. This includes utilization of hospital wide e‐mail, information announcements, policies, annual computer… more
- Molina Healthcare (Fort Worth, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health , pharmacy, etc.). + Experience demonstrating knowledge of ICD-9,… more
- HCA Healthcare (San Antonio, TX)
- …**Job Summary and Qualifications** **What qualifications you will need:** **Clinical Manager- Home Health ** + Responsible for the planning, coordination, and ... delivery of quality interdisciplinary home health care services. Will ensure compliance...regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance… more
- HCA Healthcare (Tomball, TX)
- …a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced ... HCA Houston Healthcare Tomball, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Abbott (Plano, TX)
- …required clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist ... necessary. **Required** **Qualifications** + Associate's degree ( +/- 13 years) , In Nursing/ Home Health (LVN/LPN) or related field required ,or, an equivalent… more
- HCA Healthcare (Houston, TX)
- …Texas Orthopedic Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- HCA Healthcare (Webster, TX)
- …PREFERRED: Two to three years' experience in Social Work Services with experience in health care delivery systems with focus on Utilization Management & Case ... Houston Healthcare Clear Lake, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more