- CenterWell (Austin, TX)
- …and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, ... part of our caring community and help us put health first** The Director Denials Management provides...related field + 10-15 years progressively responsible experience in home health or hospice industry that includes… more
- Molina Healthcare (Dallas, TX)
- …care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization ... corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …for the Primary Care Mental Health Integration (PCMHI) Program, Health Behavior Coordination (HBC), Pain Psychology, Home -Based Primary Care (HBPC) ... for assisting the Chief of Psychology, the Associate Chief of Staff for Mental Health , the Chief of Staff, and the Director in planning, organizing, and… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …for the Primary Care Mental Health Integration (PCMHI) Program, Health Behavior Coordination (HBC), Pain Psychology, Home -Based Primary Care (HBPC) ... for assisting the Chief of Psychology, the Associate Chief of Staff for Mental Health , the Chief of Staff, and the Director in planning, organizing, and… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …vacancies. The Michael E. DeBakey VA Medical Center serves as the primary health care provider for more than 151,000 Veterans in southeast Texas. Houston exudes ... a cosmopolitan and down- home vibe together that lets the residents of the...up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be… more
- Evolent (Austin, TX)
- …requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write and speak the English language fluently ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be… more
- STG International (Temple, TX)
- …seeking a Registered Nurse Supervisor to provide services at our Texas State Veterans Home . This position is paid hourly and eligible for overtime. . The William R. ... Courtney Texas State Veterans Home is located in Temple, TX. Our staff provides...accident/incident reports and follow up as necessary to QA Director and DON / ADON . Reports and investigates… more
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