- Methodist Health System (Dallas, TX)
- …of patient care through coaching and mentoring care givers, case managing selected cases, and facilitating discharge/transition planning. Participates in ... - PREFERRED * Associates Degree in Nursing with insurance or hospital case management experience will be considered. * Current license to practice professional… more
- Ascension Health (Austin, TX)
- …history. + Document insurance coverage of services to be provided. + Notify case management about interactions with insurance companies regarding services. + Manage ... denials or potential denials as described by insurer. + Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
- Catholic Health Initiatives (Houston, TX)
- …candidates. Review medical information, schedule testing including physician and coordinator consultations, collect data, review results and compile data for ... presentation of patient's case at Medical Review Board. + Primary responsibility for...Provide clinical updates to payers in order to eliminate denials . + Initiate and oversee all pre-op and post-op… more
- HCA Healthcare (Dallas, TX)
- …be a part of our team. **Job Summary and Qualifications** The Physician Advisor Coordinator will lead a team of coordinators in support of Physician Advisor peer to ... plans. This individual will partner with multiple enterprise teams such as Case Management, Corporate Utilization Review Services (URS) team, Pre-bill Denial Units… more