- Centene Corporation (Austin, TX)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… 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 ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. MD licenses required for the following states: WA FL, MI, MS,… more
- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...purposes of utilization review , care coordination compliance with requirements of external … 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