Utilization Review Jobs in Plano, TX
Utilization Review Jobs in Plano, TX
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Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.  More...
Program Coordinator-working With Seniors
18 - 18
Are you looking for a part-time job that you can sink your heart intoWould you like to work a flexible scheduleWould you like to earn up to $18 per hour 8 hours a weekAs a Program Coordinator you will be an integral member of our mission to improve the quality of life for individuals More...
Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.  More...
OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...
DescriptionSchedule: Full timeYour experience mattersCarrollton Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to othe More...
The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privias Virtual Clinic. Day-to-day this role will be treating patients virtually through a HIPAA-compliant telehealthplatform and will support efforts in developing cl More...
Vice President Of Clinical Appeals | Pam Health Corporate
OverviewThe Vice President of Clinical Appeals provides strategic leadership and day-to-day oversight of the companys preadmission clinical appeals program across all IRF and LTACH facilities. This role is responsible for managing a centralized team that reviews appeals and overturns More...
As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a More...
Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.  More...
OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...
Formulary Strategy & Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospectiv More...
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Ou More...
The Program Director is a vital leadership position and integral to the successful management of our program. The Program Director provides direction and supervision to the entire staff including the clinicians he/she oversees. Aside from managerial responsibilities the Program Direct More...
Clinical Authorization Specialist | Pam Health Corporate
OverviewThe Clinical Authorization Specialist is responsible for managing Commercial and Medicare Advantage admission authorizations by conducting a comprehensive analytic review of clinical documentation to determine if a patient is clinically appropriate for admission and the best c More...
Become a part of our caring community and help us put health firstDevelops plans implements analyzes and organizes clinical operations for a specific location managed.Conducts/delegates the assessment and reassessment of patients including updating of care plans and interpreting patie More...
We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team. The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...
The Program Director is a vital leadership position and integral to the successful management of our program. The Program Director provides direction and supervision to the entire staff including the clinicians he/she oversees. Aside from managerial responsibilities the Program Direct More...
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