- Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations.
- 3 years clinical practice experience.
- Experience utilizing various software packages.
- Verbal and written communication skills.
- Analytical skills.
- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
- Familiarity with UM/CM activities and standardized criteria set.
- Knowledge of ancillary services including HHC, SNF, Hospice, etc.
- CA
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Pa Pharmacy Technician
2 weeks ago
Curative HR LLC Austin, United StatesSUMMARY · A Prior Authorization (PA) pharmacy technician is responsible for supporting the PA pharmacist team and · assures the PA pharmacists has all of the necessary information and resources needed to perform a clinical review. · The PA Coordinator duties includes receiving in ...
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Radiology Regulatory Compliance Coordinator
2 weeks ago
St. David's South Austin Medical Center Austin, United States**Introduction**: · Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family Jump-start your career as a(an) Radiology Regulatory Compliance Coordinator today with St. David's South ...
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Marketing Coordinator- Operations Focused
2 weeks ago
AVEDA Institutes and Neill Corporation Austin, United StatesHandles tasks related to the logístical, administrative, and digital/web aspects of marketing campaigns and initiatives, ensuring effective execution and enhance the overall performance. · **Key Points**: · - Maintain, edit, and update websites · - Monitor online presence · - Pro ...
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Substance Abuse Counselor
3 weeks ago
Community Medical Services Austin, United StatesOverview: · **Schedule**:Monday through Friday 6:00a - 2:00p with rotating Saturdays/holidays** · Community Medical Services (CMS) is urgently hiring a Substance Abuse Counselor to assist patients recovering from addictions to opioids and other illicit substances. Whether facilit ...
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Substance Abuse Counselor
3 weeks ago
Community Medical Services Austin, United StatesOverview: · **Schedule**:Monday through Friday 6:00a - 2:00p** · Community Medical Services (CMS) is hiring a Substance Abuse Counselor to assist patients recovering from addictions to opioids and other illicit substances. Whether facilitating individual or group sessions, or ass ...
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Director Case Management
1 week ago
St. David's Medical Center Austin, United States**Introduction**: · **Benefits**: · St. David's Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: · - Comprehensive medical coverage that covers many common services at ...
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Regional Quality Manager
2 weeks ago
Agilon Health Austin, United StatesCompany: · AHI agilon health, inc. · Job Posting Location: · Austin, TX · Job Title: · Regional Quality Manager · **Job Description**: · Position Summary: · The Quality Manager (QM) is responsible for the planning, organization, and successful execution of one or more quality pro ...
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Clinic Manager
2 weeks ago
Community Medical Services Austin, United StatesOverview: · **Shift: Monday · - Friday 5:30am-2:00pm and Saturday 7am-10am** · Community Medical Services (CMS) is urgently hiring a Clinic Manager to help those suffering from addictions to opioids and other illicit substances gain access to care. By leveraging your prior superv ...
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Safety Officer Ii
3 weeks ago
Medxcel Austin, United StatesOverview: · Medxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, s ...
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Continuing Quality Improvement Team Lead
2 weeks ago
Dept of State Health Services Austin, United StatesProgram Specialist V**Essential Job Functions**: · - EJF #2 - 30% Leads TB Program Evaluation Activities. Implements program evaluation goals and objectives for the Hansen's Disease and TB/BNTB Programs through activities such as DSHS Annual Progress Report, cohort, desktop, and ...
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Sau Analyst
1 week ago
Curative HR LLC Austin, United StatesCurative is searching for an Analyst to review claims for completeness and process per plan · guidelines as well as work on detailed projects and audits for all lines of business, as assigned. Carries out all duties while maintaining compliance and confidentiality and promoting t ...
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Traveling Outreach Coordinator
3 weeks ago
Cultivate Behavioral Health & Education Austin, United States**Outreach Coordinator** · **Must be willing to travel to Dallas area regularly.** · - **Mission of the Outreach Coordinator**_ · To grow the Cultivate Behavior Health and Education referral sources by maximizing the referral sales process and implementing a regional strategy. Th ...
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Credentialing & Licensing Specialist
3 weeks ago
TeleMed2U, Inc. Austin, United States**Credentialing & Licensing Specialist** · **Job Title**: **Credentialing & Licensing Specialist** · **Entity**:TeleMed2U, Inc. · **Location**: Roseville, CA · **Reports To**: Director of Credentialing, Contracts & Billing Services · **Direct Reports**: None · **Classification**: ...
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Manager, Instructional Design
1 week ago
Austin Community College Austin, United StatesJob Posting Closing Times: Job postings are removed from advertising at 12:00 A.M. on the closing date e.g., at midnight on the day before the closing date. · Austin Community College is a public two-year institution that serves a multicultural population of approximately 41,000 ...
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Environmental Health and Safety Supervisor
3 weeks ago
Veolia Austin, United States**Company Description** About Veolia North America** · **Job Description** This position is located in a Semiconductor Manufacturing Facility in Austin, Texas.** · **BENEFITS** · Veolia's comprehensive benefits package includes paid time off policies, as well as health, dental an ...
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Information Specialist V
2 weeks ago
TEXAS MEDICAL BOARD Austin, United States**Information Specialist V** **(** **)** · **Organization**: TEXAS MEDICAL BOARD · **Primary Location**: Texas-Austin · **Work Locations**: George H.W. Bush 1801 Congress Ave Suite 9.200 Austin 78701 · **Job**: Business and Financial Operations · **Employee Status**: Regular · ** ...
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Special Projects Analyst
3 weeks ago
Health & Human Services Comm Austin, United StatesAre you interested in leading projects across teams of policy analysts? Do you have a passion for supporting and mentoring others through complex project implementation? Are you interested in positively contributing to the lives of Texans? · - The Special Projects Analyst (Progra ...
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Live Operations Coordinator
2 weeks ago
Roku Austin, United States**Teamwork makes the stream work.**: · **Roku is changing how the world watches TV**: · Roku is the #1 TV streaming platform in the US, and we've set our sights on powering every television in the world. Roku pioneered streaming to the TV. Our mission is to be the TV streaming pl ...
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Nurse Practitioner
4 days ago
Optum Austin, United StatesThis is a full-time (40-hour) position that will provide coverage to patients primarily located in the areas of _Round Rock, Austin & Leander_ · Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are unit ...
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Health & Human Services Comm Austin, United StatesWorks under the HHSC Special Projects Unit manager or designee with latitude for the use of initiative and independent judgment. Performs advanced (senior-level) consultative services and technical assistance work. Specialist functions as part of a team of staff designated to wor ...
care coordinator um/cm i - Austin, TX , USA, United States - HCSC
Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your futureJob Summary
This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services required to meet an individuals health needs within the scope of their benefit plan.
REMOTE WORK
JOB REQUIREMENTS:
JOB REQUIREMENTS:
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.
Drug screening and background investigation are required, as allowed by law.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
care coordinator um/cm i professionals in Austin
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Breanna Gonzales
Administrative Assistant/ Customer Service Expert