- Veterans Affairs, Veterans Health Administration (Kerrville, TX)
- Summary The South Texas Veterans Health Care System is currently seeking a Physician (Geriatrics & Extended Care) to provide high quality patient centered care to ... and Palliative/Hospice Care Service. Responsibilities The Geriatric & Extended Care Physician in collaboration with the Medical Directors and Program Managers of… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- Summary The VA South Texas Health Care System is seeking a Physician - Infectious Disease to join their team in San Antonio, TX. Education Debt Reduction Program: ... open period. DUTIES Participates in staff meetings, hospital committees, and peer review process. Demonstrate effective communication both down to staff and up to… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …staff meetings when available during tour of duty, hospital committees, and peer review process. Demonstrate effective communication both down to staff and up to ... the new focus on the Medical Home and Patient Centric Care, Utilization , Quality, and Patient Safety oversight, process improvement (system redesign) Work Schedule:… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... vacancies occur. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt… more
- MTC (Raymondville, TX)
- …clinical impressions. 2. Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes, ... 4. Refer patients for specialty consultations and treatment through the utilization manager process. 5. Utilize established corporate, facility and corrections… more
- Guidehouse (Lewisville, TX)
- …receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine ... with insurance portals + PC skills in a Windows environment. + Knowledge and utilization of desktop applications to include Word and Excel. + Ability to initiate and… more
- Highmark Health (Austin, TX)
- …DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary team ... Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in… more
- Baylor Scott & White Health (Rockwall, TX)
- …accurate patient financial responsibility. + Communicates promptly with Utilization Review . Collaborates effectively with the physician and facility staff. ... Ensures financial clearance of the patient's account before any service during the hospital stay. + Interprets complex payer coverage information, including network participation status, limited plan coverage, and inactive benefits. + Documents systems… more
- HCA Healthcare (Live Oak, TX)
- …a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in ... support for appeals and denials process, discharge planning, case management, and utilization review /management + You will consult with facility-level staff… more
- Centene Corporation (Austin, TX)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of… more