- Somatus (San Antonio, TX)
- …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act… more
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health ... of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the appropriate level of service provided,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... documentation improvement. This role also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff,… more
- Cognizant (Austin, TX)
- …determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party ... **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse...an impact by performing advanced level work related to clinical denial management and managing clinical denials… more
- Medtronic (San Antonio, TX)
- …in a more connected, compassionate world. **A Day in the Life** At Medtronic, the Clinical Specialist supports the Pelvic Health groups in the areas of surgical ... department in education/training of new employees in the district (therapy consultants, clinical specialists, field clinical engineers, etc.). + Provides sales… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of ... for appointment and reappointment. + Gathers and compiles all other necessary documentation , including case logs or quality data, for application completion. +… more
- TEKsystems (Austin, TX)
- About the Role We are seeking a detail oriented and experienced Clinical Insurance Authorization Specialist to join our team. This role is critical in ensuring ... and resolve payer-related issues to ensure timely reimbursement. + Collaborate with clinical and administrative teams to gather necessary documentation for… more
- Molina Healthcare (Clarksville, TX)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk ... Molina risk adjustment and quality efforts (eg Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal. *… more
- BrightSpring Health Services (Irving, TX)
- …with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization ... role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires… more
- UTMB Health (Galveston, TX)
- …of the clinical enterprise including patient registration, patient billing, clinical documentation utilized in the ambulatory and inpatient settings, as ... Epic EHR Clinical Apps Analyst (Primarily Remote , Houston/Galveston...documentation of business and management problems to formulate clinical application requirements. Assists in providing solutions to routine… more
- TEKsystems (Austin, TX)
- …audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Updates coding/payer guidelines for ... clinical staff. Tracks pathways and performs various other business...chemo, OR surgery medical insurance verification and authorization required. Remote ( in Texas area) Experience Level Expert Level… more
- UTMB Health (Galveston, TX)
- …of the clinical enterprise, including patient registration, patient billing, clinical documentation utilized in the ambulatory and inpatient settings, as ... Senior EHR Clinical Apps Analyst (Partial Remote -...and Cardiology. Other responsibilities include providing intermediate analysis and documentation , formulating logical statements of business and management problems… more
- Datavant (Austin, TX)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- MD Anderson Cancer Center (Houston, TX)
- …programs and employee resource groups. SUMMARY The primary purpose of the BAS Specialist position is to provide analysis of facilities business and management needs ... between Information Systems and user departments and provides necessary documentation and consultation for implementation of system upgrades. Review, analyze,… more
- BrightSpring Health Services (Lubbock, TX)
- …caring people who make a difference in people's lives. The Operational Support Specialist is aligned regionally to assist in ensuring the Company's mission and ... team, to ensure long-term fixes are implemented via onsite/hands-on support, remote oversight, and coaching/training with staff* Provide operational and location… more
- Sedgwick (Houston, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE OF THE ROLE:** To enhance the ADA process for ... are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Intermountain Health (Austin, TX)
- …works with peers, internal and external stakeholders, and vendors * Follows documentation and change management standards. * Participates in development of training ... systems + Skilled in assessing needs and determining through documentation what the best approach might be + Skilled...correspondence, and process documents **Job Specific** + While a remote position, this role will be supporting St. George… more
- Texas Health Resources (Arlington, TX)
- …inadequate, unclear or incorrect for coding and compliance purposes. . Collaborates with Clinical Documentation Specialist to improve coding and ... our Texas Health Family_ **Sign-On for Eligible New Hires** **Work location:** Remote **Work hours:** Flexible hours **HIMS Coding Department Highlights:** . 100% … more
- Evolent (Austin, TX)
- … clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- MD Anderson Cancer Center (Houston, TX)
- …- Leukemia Job Summary We are seeking a highly motivated Regulatory Compliance Specialist to support clinical trial operations. This key role is responsible ... for preparing and maintaining regulatory documentation , ensuring compliance with institutional policies and federal regulations, and serving as a liaison between… more
