- CenterWell (Longview, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Houston Methodist (Houston, TX)
- …data management support to the department staff to facilitate efficient utilization of resources including referrals management, communication and collaboration with ... performs duties including but not limited to coordinating needed physician referrals and appointments, assisting with department initiatives, demonstrating… more
- HCA Healthcare (Dallas, TX)
- …staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician order sets and other evidenced based ... and from other countries. We offer sophisticated treatment by our 400+ in-house physician specialists. Medical City Dallas has a full -service adult hospital and… more
- HCA Healthcare (Houston, TX)
- …+ Employee Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more about Employee Benefits ... patients. The PODS/ Telehealth lead scheduler has good communication skills with patients, physician offices, as well as with the staff of the Pre-Admit **What you… more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Elevance Health (Grand Prairie, TX)
- …Reviewer I** **Location:** Virtual: This role enables associates to work virtually full -time, with the exception of required in person training sessions, providing ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay...countries. We offer sophisticated treatment by our 400+ in-house physician specialists. Medical City Dallas has a full… more
- Houston Methodist (Sugar Land, TX)
- …delegated medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high ... Sr. MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be… more
- Houston Methodist (Sugar Land, TX)
- …and/or coordinating complex delivery of care within a large, multi- physician primary care, specialty, or multi-disciplinary practice. This position supervises ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more