- Fresenius Medical Center (Houston, TX)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. +...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- Prime Therapeutics (Austin, TX)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... Under supervision, is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to… more
- Houston Methodist (Katy, TX)
- …Audit, Business Practices, Health Information Management, Patient Access Services, and Utilization Review as needed to ensure operational billing compliance ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... and supportive relationship as liaison with patient, family, facility staff, physician ; funding representatives and community agencies. Ensure continuity in the… more
- Molina Healthcare (San Antonio, TX)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer… more
- MTC (Raymondville, TX)
- …physicians to see detainees; prepare examining room and equipment. + Call the physician for medication and treatment orders and other emergencies. + Operate pill ... or detainees who become ill or injured; confer with physician to refer detainees to the emergency room as...appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. +… more
- HCA Healthcare (Dallas, 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...apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted by… more
- Humana (Austin, TX)
- …requiring minimal instructions to achieve solutions. May provide coaching and/or review the work of lower-level associates. Makes decisions on moderately complex ... Program Expertise:** Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to… more
- Houston Methodist (Houston, TX)
- …for documentation of vital signs, chief complaint(s), preforms medication(s) review , and discusses/reviews medical and social history (as appropriate). Documents, ... special visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart. + Provides initial investigation and… more
- HCA Healthcare (San Antonio, TX)
- …order to facilitate optimum care and health education for patients and appropriate utilization of resources which support daily operation in his/her area. 2. The ... and directs the Nurse Managers to address patient, visitor, employee and physician incidents/complaints and ensures that timely & appropriate follow up occurs. 6.… more