- Sedgwick (Irving, TX)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **QUALIFICATIONS ... AND LICENSING** Education/Experience Bachelor's degree from an accredited college or university preferred. Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative… more
- Sedgwick (Austin, TX)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- Catholic Health Initiatives (Houston, TX)
- …when required, obtaining pre‐certification reference number, approved length of stay, and utilization review company contact person and telephone number. 13. ... plans, and Medicare supplemental plans that require pre‐certification. 14. Contact physician 's on scheduled patients, to notify them of authorization requirements… more
- HCA Healthcare (Denton, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: + Performs a comprehensive ... health care team and in particular with the patient's physician to facilitate a successful care transition + In...Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health ... and demonstrates understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room processes. Understands… more
- Cognizant (Austin, TX)
- …guidelines and regulations. * Experience in the analysis and processing of claims, utilization review /quality assurance procedures. * Must be able to work with ... * A minimum of 1 year claims processing is required. * Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 *… more
- Houston Methodist (The Woodlands, TX)
- …many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, ... and prioritize daily tasks. Provides leadership to staff on efficient utilization of time according to budgetary guidelines. Reviews team member's timecards… more
- HCA Healthcare (Houston, TX)
- …efficiently in fulfilling position responsibilities. . You must be proficient in utilization of computer systems to accomplish position responsibilities. . You will ... conveniently located within one building. Texas Orthopedic Hospital is partially physician -owned and partners with Fondren Orthopedic Group, LLP, _the largest and… more
- CBRE (Austin, TX)
- …clinical planning support for healthcare and related facilities, including physician practices, ambulatory care centers, and hospitals. **What You'll Do:** ... Calculate departmental and room-level square footage using industry benchmarks and utilization data + Build programming options that align with healthcare… more
- Cardinal Health (Austin, TX)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more