- Evolent (Austin, TX)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... Medical Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts… more
- HCA Healthcare (Houston, TX)
- …responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review . Functions at an executive level in an ... administration, appropriate facility staff members and Division Office. + You will review denials issues and trends for maximizing net reimbursement for Facility.… 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
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, inservices, influenza immunization, wage and hour,… more
- Houston Methodist (The Woodlands, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour,… more
- UTMB Health (Galveston, TX)
- …to budget planning, fiscal and resource planning/administration, human resource utilization , policy administration, and coordination and negotiation of activities ... is followed accordingly with regard to faculty appointments, promotions, and tenure review . + Identifies and adheres to appropriate internal controls for department… more
- HCA Healthcare (Austin, TX)
- …This includes, but is not limited to, the efficient, effective procurement, utilization and stewardship of all technical, physical and human resources. You will ... Man and operate injector, Communicate to patient's family/unit progress, and Answer physician calls/pages during procedure + You will provide patient care throughout… more
- Catholic Health Initiatives (Houston, TX)
- …1. Evaluates, plans and Implements occupational therapy treatment programs according to physician referral, and/or plan of care. Designs programs to meet the ... Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to patient care charting, charge… more
- Methodist Health System (Richardson, TX)
- …works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve ... to federal program guidelines Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of… more
- Houston Methodist (The Woodlands, TX)
- …for an expanded clinical role that may include responsibility for proactive review of patient profiles, participation in basic clinical functions such as discharge ... in any or all areas of the department to include processing orders, therapy review , and education to patients and other members of the direct patient care team.… more