Behavioral Health Clinical Reviewer - Houston, TX

Position Summary · The Behavioral Health Clinical Reviewer is responsible for evaluating clinical records and referral documentation to determine eligibility and fit for Nexus behavioral health and neurodevelopmental programs. This role involves preparing high-quality clinical ev ...

The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. ...

The Clinical Quality Reviewer is responsible to collect and submit reliable data to the indicated registries and/or databases. This position assures appropriate data collection, abstraction, analysis and reporting of noted measures and communicates changes in definitions, methodo ...

The Clinical Quality Reviewer is responsible to collect and submit reliable data to the indicated registries and/or databases. · This position assures appropriate data collection, abstraction, analysis and reporting of noted measures and communicates changes in definitions, metho ...

The Clinical Quality Reviewer is responsible to collect and submit reliable data to the indicated registries and/or databases.This position assures appropriate data collection, abstraction, analysis and reporting of noted measures and communicates changes in definitions, methodol ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. · ...

Explore opportunities with Kelsey-Seybold Clinic and build your career at one of our locations throughout Houston. · ...

Join us and discover the meaning behind Caring. Connecting. Growing together.Explore opportunities with Kelsey-Seybold Clinic. · a comprehensive benefits package,incentive and recognition programs, · equity stock purchase, · and 401k contribution (all benefits are subject to elig ...

Explore opportunities with Kelsey-Seybold Clinic. · Perform documentation reviews to assess medical necessity. · ...

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. · ...

We are looking for a Financial Reviewer to join our team. As a Financial Reviewer, you will be responsible for researching and resolving billing issues with patients and insurance carriers. You will also interpret plan benefits and use strong interpersonal skills to secure accura ...

The Utilization Review Specialist is responsible for conducting medical reviews and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · Work remotely as you take on some tough challenges. · ...

The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · ...

We are seeking a Concurrent Review Case Manager to join our team. As a telephonic monitor, you will document medical treatment and compare it to established criteria to determine if treatment meets guidelines. · ...

· Head and Neck Surgery - Physician at The University of Texas MD Anderson Cancer Center summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · POSITION OVERVIEW: · The Department of · Thoracic/Head & Neck Medical Oncology (THNMO) · at · MD Anderson Cancer Center · in ...

· Head and Neck Surgery - Physician at The University of Texas MD Anderson Cancer Center summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · POSITION OVERVIEW: · The Department of · Thoracic/Head & Neck Medical Oncology (THNMO) · at · MD Anderson Cancer Center · in ...

Certification Details · Medical Laboratory Scientist (MLS) certification (ASCP) · Medical Technologist (MT) certification (ASCP) · Job Details · Continuously evaluates the effectiveness and efficiency of the POCT program; proactively investigates new methodologies, instrumentatio ...

The practice manager provides leadership communication and guidance to physicians providers clinic team leaders · and staff in their clinic while promoting the values and mission statement of Forefront Dermatology Accountable for cultivating clinic leadership leading operational ...

Biopharma Informatic is seeking a detail-oriented Quality Assurance Associate to support quality oversight across all clinical research sites. · This role requires strong working knowledge of clinical trial processes, regulatory expectations, and audit preparation. · Serve as the ...