- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. POSITION IS REMOTE **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
- Molina Healthcare (Austin, TX)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the enterprise. Primary responsibilities will include… more
- HCA Healthcare (Round Rock, TX)
- …and internal committees. What you will do in this position: . Perform daily concurrent chart review to ensure compliance with evidence-based program measures for ... data reporting timelines are met (IRR, normalization, etc). . Collaborate with clinical staff, physicians, and leaders to ensure evidence-based measures are met in… more