NewFloat Medical Scribe - Bilingual Spanish Required Oak Street HealthFloat Medical Scribe - Bilingual Spanish RequiredHouston, TX$17–$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewMedical Scribe Oak Street HealthMedical ScribeSan Antonio, TX$17–$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewMedical Scribe (bilingual) Oak Street HealthMedical Scribe (bilingual)Pasadena, TX$17–$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT University Health Services IncHIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FTHOUSTON, TXOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Job Duties/Responsibilities: Chart Abstraction and Review Coding Chart Analysis (as needed) Outpatient discharge charts Chart Audits Administrative duties to include answering incoming calls and provide assistance to customers.
SR HIM/Medical Records Tech - FT - ROC University Health Services IncSR HIM/Medical Records Tech - FT - ROCEDINBURG, TXNotice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. HIM Medical Records Technician shall work as part of a team in the function of prepping medical record(s), scanning records into EMR and performing first level of quality control assuring quality review of scanned documents.
Medical Records Specialist Erico Technologies LLCMedical Records SpecialistHouston, TexasRemote$18–$24 / hourThe Medical Records Specialist will play an important role in maintaining accurate data integrity, supporting internal teams, and ensuring all records are properly processed and stored. This role is fully remote and best suited for individuals who are organized, reliable, and able to work independently while managing multiple documentation tasks.
Medical Records Development Clerk - Remote TX Heard & Smith, LLPMedical Records Development Clerk - Remote TXSan Antonio, TexasRemoteAs the Medical Development Clerk you work closely with the attorneys, legal assistants and other staff to assist in developing client cases by requesting and obtaining updated medical records from. Heard and Smith, LLP was founded on the principles of compassion, humility and the relentless desire to pursue financial assistance for our clients.
Medical Records Clerk Gentiva HospiceMedical Records ClerkHouston, TexasPart timeOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Medical Records Clinical Supervisor Nursing Solutions IncMedical Records Clinical SupervisorSherman, TXThis role supervises Medical Records staff, partners with internal teams to resolve deficiencies, and helps ensure consistent quality, strong service, and efficient workflow across the department. The Medical Records Clinical Supervisor is responsible for overseeing medical records review and audit activities to support documentation accuracy, regulatory compliance, and timely response to records requests.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NurseDallas, TXRemoteRequired Years of Experience: · Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. Clinical Validation Reviewer: Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient’s documented clinical condition, services rendered, and billed charges.
Medical Records Clerk Gentiva Health Services Inc (Inactive)Medical Records ClerkHouston, TXIn this vital administrative role, you will manage and maintain accurate patient records, ensure compliance with healthcare regulations, and provide essential office support to help our team deliver exceptional care. Provide general administrative support, including answering phones, ordering supplies, and data collection/entry.
Medical Records Clerk Team1MedicalMedical Records ClerkHouston, TXA healthcare organization is seeking a Medical Records Clerk to support department needs by gathering medical records, managing medical records requests, and following up on medical records. In the spirit of pay transparency, we want to share the base salary range for this position is $18.00 per hour, not including benefits, potential bonuses, or additional compensation.
Medical Records Technician II Team1MedicalMedical Records Technician IIHouston, TX$15–$16 / hourJoin one of Houston’s top healthcare systems as a Medical Records Technician II and play a vital role in ensuring the accuracy and availability of patient documentation. Located in the Texas Medical Center, this department values teamwork, reliability, and a detail-oriented approach to healthcare support services.
NewMedical Records Technician (PRN) Resolution ThinkMedical Records Technician (PRN)Montgomery, TXPart timeThe United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. The work requires some physical exertion, such as long periods of standing; walking or jogging unaided over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; or recurring lifting of moderately heavy patients or equipment.
NewMedical Records Technician (Health Information Technician) U.S. Department of JusticeMedical Records Technician (Health Information Technician)San Antonio, TX$57,593–$78,630 / yearIf you are on active duty and expect to be discharged or released from active duty service within 120 days, you may submit a Certificate of Release or Discharge from Active Duty from the appropriate Branch Personnel Office containing the following information: (1) the military service dates including the expected discharge or release date; (2) and the character of service (must be an honorable or general discharge); and (3) any qualifying service/campaign/expeditionary medals. Although veterans preference points are not assigned under the category rating procedures described under "How You Will Be Evaluated", veterans preference eligibles are listed ahead of non-veterans within each category for which they are qualified.
NewMedical Director, Utilization Review Curative HR LLCMedical Director, Utilization ReviewAustin, TXRemote$260,000–$280,000Backed by our recent $150M in Series B funding and valuation at $1.275B , Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce. The Medical Director will serve as a key clinical expert, ensuring appropriate resource utilization, promoting evidence-based care, and fostering positive relationships with practitioners through effective peer-to-peer discussions.
Medical Records Specialist PRN HCA Healthcare IncMedical Records Specialist PRNWeatherford, TXJob Summary and QualificationsAs a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
NewMedical Records Specialist HCA Healthcare IncMedical Records SpecialistRound Rock, TXJob Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistHouston, Texas$16–$22 / hourFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Site Supervisor, Medical Records, Release of Information MRO CorporationSite Supervisor, Medical Records, Release of InformationOdessa, Texas$52,000–$70,000 / hourFull timeThe Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Promotes a positive self-image of MRO with emphasis on customer service by treating patients, co-workers, and medical center personnel with courtesy and respect.
Hand Surgeon Medical Review Stream Physician Concentra Inc.Hand Surgeon Medical Review Stream PhysicianDallas, TXMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Spine Telecommute Medical Review Stream Physician Concentra Inc.Spine Telecommute Medical Review Stream PhysicianDallas, TXMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Emergency Medicine Telecommute Medical Review Stream Physician ConcentraEmergency Medicine Telecommute Medical Review Stream PhysicianHouston, TexasCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidSan Antonio, TXFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Medical Records Reviewer Bienvivir All Inclusive HealthMedical Records ReviewerEl Paso, TX$15.65–$23.48Full timeRetrieves records from the EMR, prepares and audits medical record packets for participants placement admissions, respite stays, and monthly medical records updates to be sent to nursing home facilities and maintains records of the packets sent as a backup documentation. Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors.
Medical Records Coder 3 Methodist Health SystemMedical Records Coder 3Dallas, TXNamed one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, missing codes on claims and other billing issued provided through interaction with Central Business Office (CBO), medical STAFFnd other hospital departments.
Supervisory Medical Records Administration Specialist U.S. Department of DefenseSupervisory Medical Records Administration SpecialistFort Sam Houston, TX$75,776–$98,514 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For each relevant work experience, make sure you include the employers name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement.
Medical Records Specialist Witherite Law Group PLLCMedical Records SpecialistRichardson, TXPosition Summary: Medical Records Specialist at Witherite Law Group is responsible for managing and organizing all medical records and related documents for ongoing personal injury cases, particularly those involving motor vehicle accidents. Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess - The ability to observe details at close range (within a few feet of the observer).
MEDICAL RECORDS CODER 2 Methodist Health SystemMEDICAL RECORDS CODER 2Dallas, TXYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others.
MEDICAL RECORDS CODER 2- PRN Methodist Health SystemMEDICAL RECORDS CODER 2- PRNDallas, TXNamed one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.
Medical Records Coder 2 Methodist Health SystemMedical Records Coder 2Dallas, TexasYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas’ best places to work. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement.
Medical Records Coder 2- Prn Methodist Health SystemMedical Records Coder 2- PrnDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.
Medical Records Coder-Int UT Health San Antonio School of DentistryMedical Records Coder-IntSan Antonio, TXLICENSE AND CERTIFICATION: Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Medical Records Coder-Assoc UT Health San Antonio School of DentistryMedical Records Coder-AssocSan Antonio, TXLICENSE AND CERTIFICATION: Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Medical Records Technician Planned Systems International IncMedical Records TechnicianConroe, TXThe United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. The work requires some physical exertion, such as long periods of standing; walking or jogging unaided over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; or recurring lifting of moderately heavy patients or equipment.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadAustin, TXRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
RN Utilization Review Coordinator, Full-time Methodist Hospital for SurgeryRN Utilization Review Coordinator, Full-timeAddison, TXFull timeMonitor, track, and analyze avoidable days and extended lengths of stay; identify contributing factors related to utilization, payer processes, discharge barriers, and system delays, and collaborate with Case Management, physicians, and interdisciplinary teams to support timely resolution. The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post‑discharge utilization reviews to ensure appropriate patient status, medical necessity, and compliance with hospital policy, payer requirements, and applicable local, state and federal regulations, including Centers for Medicare & Medicaid Services (CMS) guidelines.
RN Case Manager/Utilization Review, Full-Time (Hybrid) Surgery Partners IncRN Case Manager/Utilization Review, Full-Time (Hybrid)TXJob Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure appropriate patient status, medical necessity, and compliance with hospital policy, payer requirements, and applicable local, state and federal regulations, including Centers for Medicare & Medicaid Services (CMS) guidelines. Monitor, track, and analyze avoidable days and extended lengths of stay; identify contributing factors related to utilization, payer processes, discharge barriers, and system delays, and collaborate with Case Management, physicians, and interdisciplinary teams to support timely resolution.
Registered Nurse II (RN) Utilization Review Nurse HMHRegistered Nurse II (RN) Utilization Review NurseTexasAt Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other state agencies. As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program.
Manager, Clinical Case Review Edwards LifesciencesManager, Clinical Case ReviewDallas, TXThe Case Review Manager leads the patient screening analysis and evaluation of baseline medical history and clinical imaging reports (e.g EDC screening records including clinic notes, lab results, cardiology assessments, CT and/or echocardiogram reports) to confirm protocol compliance and provide patient screening and case review support to clinical trial sites for Clinical Research Trials within THV Clinical Affairs. + Previous related experience working a clinical setting or equivalent work experience based on Edwards criteria Preferred and Experience working in the setting of a clinical trial or equivalent work experience based on Edwards criteria Preferred.
Clinical Review Auditor I CorVel CorpClinical Review Auditor IFort Worth, TXRemote$70,143–$107,253 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Behavioral Heath Social Worker, Utilization Review, Days Knight Health Holdings LLCBehavioral Heath Social Worker, Utilization Review, DaysPalestine, TXJoin Palestine Regional Medical Center in Palestine, TX, a 150-bed hospital that has recently earned the prestigious Leapfrog "A" Safety Grade, the Platinum Award for quality from parent-company ScionHealth, and certification as a Chest Pain Center and Level IV Trauma facility. The Social Worker-Utilization Review performs pre-certification, concurrent review, and discharge planning in accordance with applicable guidelines and acts as a liaison to support safe, timely, and medically necessary care.
Clinical Review Auditor I CorVel Healthcare CorporationClinical Review Auditor IFort Worth, TXRemote$70,143–$107,253 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Clinical Quality & Utilization Review Specialist TRAVIS COUNTY HEALTHCARE DISTRICTClinical Quality & Utilization Review SpecialistAustin, TXThe Clinical Quality and Utilization Review Specialist partners closely with physicians, advanced practice providers (APPs), and interdisciplinary teams to support evidence-based decision-making, optimize patient outcomes, and drive continuous improvement. Serving as a key liaison among providers, compliance, nursing, quality, and leadership, this role ensures that findings from utilization reviews, peer review, and quality activities translate into meaningful and sustainable improvements in clinical practice and systems of care.
Clinical Quality & Utilization Review Specialist Central HealthClinical Quality & Utilization Review SpecialistAustin, TexasFull timeThe Clinical Quality and Utilization Review Specialist partners closely with physicians, advanced practice providers (APPs), and interdisciplinary teams to support evidence-based decision-making, optimize patient outcomes, and drive continuous improvement. Serving as a key liaison among providers, compliance, nursing, quality, and leadership, this role ensures that findings from utilization reviews, peer review, and quality activities translate into meaningful and sustainable improvements in clinical practice and systems of care.
(LPN) Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX) ProHealth Home Health & Hospice(LPN) Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Dallas, TX)Addison, TexasReviews each Medicare patient episode to verify that all necessary components are present and coordinates with team members to resolve concerns that would lead to non-affirmation, claim rejection, or claim ADR. Graduate of a state approved school of practical (vocational) nursing and current state license, or a multi-state license issued by a Nurse Licensure Compact (NLC) member state.
SUPERVISOR, INVENTORY & RECORDS - Public Health Tarrant County TXSUPERVISOR, INVENTORY & RECORDS - Public HealthFort Worth, TX$20–$22 / hourThese programs include group health plans for medical, dental, and vision coverage; an Employee Assistance Program (EAP); life and long- term disability insurance; and flexible spending accounts for health care and dependent care reimbursements. Responsible for over fifty (50) vehicles retention and updating of maintenance records and schedules, coordinates routine maintenance and repairs, records and monitors mileage and utilization.
Corporate Fair & Responsible Banking Analyst-Loan Review Glacier Bancorp IncCorporate Fair & Responsible Banking Analyst-Loan ReviewTX$75,663.07–$113,494.60 / yearStrong knowledge of Fair Lending regulations is required: Home Mortgage Disclosure Act, Equal Credit Opportunity Act, Fair Housing Act, Service Members Civil Relief Act, Fair Debt Collection Practices Act, Fair Credit Reporting Act, Truth In Lending Act, Unfair Deceptive or Abusive Acts or Practices, Real Estate Settlement Procedures Act, Mortgage Acts and Practices. Key responsibilities include fair lending and compliance reviews, lead FARB's risk assessment program, and the oversight of FARB-related models and non-model tools in partnership with analysts, ERM-Model Risk Management, and other stakeholders.
NewPsychiatry - Utilization Review - REMOTE - Contract (1099) MRIoAPsychiatry - Utilization Review - REMOTE - Contract (1099)Dallas, TXRemoteSensitive Personal Info : MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number. Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions.
Nephrology Utilization Review - REMOTE - Contract (1099) MRIoANephrology Utilization Review - REMOTE - Contract (1099)Dallas, TXRemoteSensitive Personal Info : MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number. Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions.