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Business Development Specialist
4 days ago
Only for registered members Texas, Texas, United StatesCiel Recruiting Firm ) is seeking an ambitious and results-driven Business Development Specialist to join our healthcare recruiting team. · ...
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Sleep Medicine Physician
4 days ago
Only for registered members Texas, Texas, United StatesWelcome to our team of compassionate healthcare professionals. We are seeking a board-certified Sleep Medicine Physician to join our growing multidisciplinary team. · Conduct comprehensive evaluations for patients with sleep-related disorders (e.g., insomnia, sleep apnea, narcole ...
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DevOps Engineer
1 week ago
Only for registered members Texas, United States of AmericaJoin NTT DATA to make an impact. We are renowned for our technical excellence and leading innovations. Our workplace embraces diversity and inclusion. · Bachelor's degree or equivalent in Information Technology or related field. · ...
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Verification of Benefits Specialist
1 month ago
Only for registered members San Antonio Full time $21 - $23 (USD)We are seeking an experienced Verification of Benefits (VOB) Specialist to join our team at our Briggs location. · Verify patient insurance eligibility and benefits prior to appointments · Review and interpret benefits including deductibles, copays, and coinsurance · ...
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Director of Program Data (72578)
3 weeks ago
Only for registered members San Antonio Full time $55,000 - $58,000 (USD)The Director of Program Data will lead outcomes and compliance improvement initiatives by analyzing data prepared by the Data Specialist for accuracy and compliance. This individual will also prepare programmatic reports and datasets for review and approval. · Lead BGCA membershi ...
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Parenting Programs In-Home Specialist
5 days ago
Only for registered members San Antonio Full time $58,810 - $74,983 (USD)The Parenting Programs In-Home Specialist provides direct support and education to families participating in MHM parenting programs through in-home and group-based services. · ...
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Instructional AI/Technology Specialist
1 month ago
Only for registered members San Antonio, TXThe Instructional AI/Technology Specialist will coordinate the AI and technology implementation during the funding period for two projects - Alamo Bridges and Transition University program at Texas A&M University-San Antonio (A&M-SA). The specialist will advance an innovative, ev ...
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Verification of Benefits Specialist
1 month ago
Only for registered members San Antonio, TXWe are seeking an experienced Verification of Benefits (VOB) Specialist to join our team at our Briggs location. · ...
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Business Growth Development Specialist
1 month ago
Only for registered members San Antonio, TXWe are currently hiring a Business Growth Development Specialist to help drive our continued growth. · This role is ideal for someone who thrives on relationship-building, · strategic outreach, · and making a meaningful impact within the pediatric healthcare space.A minimum of a ...
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Broker Helpline Specialist
1 week ago
Only for registered members San Antonio Full timeThe Broker Helpline Specialist serves as a primary point of contact for external insurance brokers and agency partners while also supporting internal departments and participating in broker- and agent-facing events. · The position plays a critical role in strengthening broker rel ...
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Nurse Practitioner/ Physician Assistant
2 weeks ago
Only for registered members San Antonio, TXPediatric primary care practitioner to assess diagnose and manage acute and chronic health conditions in children. Collaborate with families and healthcare teams to create individualized care plans promoting preventive health. Provide compassionate patient care excellent clinical ...
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Primary Care Physician
1 month ago
Only for registered members San Antonio, TXBloom Healthcare is a pioneering and employee-owned primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. · We are looking for dedicated primary care providers to help bring our innovative care model and compassionate appr ...
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Nurse III
1 month ago
Only for registered members San Antonio Full time $7,532 - $8,886 (USD)Come work in an environment where we truly value and respect those we serve. · The state supported living centers serve people with intellectual disabilities who are medically fragile or who have behavioral problems. · We provide campus-based direct services and supports at 13 ce ...
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Psychosocial Rehabilitation Specialist
1 month ago
Only for registered members San Antonio, TX· ...
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Specialist, Procurement
1 month ago
Only for registered members San Antonio Full timeThis Procurement Specialist position involves building an aviation career with opportunities to learn and grow within the company. · Purchasing & Contract Negotiation · ...
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Curriculum Specialist-Science
3 days ago
Only for registered members San Antonio, TXThe District Curriculum Specialist for K-12 Science plays a pivotal role in ensuring high-quality, research-based instruction while overseeing the alignment, · implementation, · and evaluation of curriculum across the district. · This position is responsible for developing, · imp ...
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Parenting Programs In-Home Specialist
4 days ago
Only for registered members San Antonio, TXThe Parenting Programs In-Home Specialist provides direct support and education to families participating in MHM parenting programs through in-home and group-based services. · ...
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Outpatient Physical Therapist
1 week ago
Only for registered members San Antonio, TXWe are a clinic where you can slow down enough to think, get mentorship you can actually feel, and build confidence fast without burning out. You'll work in a setting built around patient-first care, clinical excellence, and a team that takes pride in helping people move better a ...
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Curriculum Coordinator
3 days ago
Only for registered members San Antonio, TXThe Curriculum Coordinator is dedicated to ensuring academic excellence and student achievement across the district. · The position leads initiatives to enhance instructional practices, utilizes data-driven strategies to close achievement gaps, · and ensures the alignment, implem ...
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Director of Behavioral Health Services
1 month ago
Only for registered members San Antonio Full time $7,166 - $10,785 (USD)The Director of Behavioral Health Services performs advanced (senior level) and complex managerial duties overseeing and administering the business functions of the Behavioral Health Services department at the SSLC. · Maintains knowledge of applicable laws regulations and departm ...
Clinical Outcomes Specialist - Pleasanton - University Health
Description
POSITION SUMMARY/RESPONSIBILITIESCareCoordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary.
Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum.Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs.
Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCEGraduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.
National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.-
Business Development Specialist
Only for registered members Texas, Texas, United States
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Sleep Medicine Physician
Only for registered members Texas, Texas, United States
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DevOps Engineer
Only for registered members Texas, United States of America
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Verification of Benefits Specialist
Full time Only for registered members San Antonio
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Director of Program Data (72578)
Full time Only for registered members San Antonio
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Parenting Programs In-Home Specialist
Full time Only for registered members San Antonio
-
Instructional AI/Technology Specialist
Only for registered members San Antonio, TX
-
Verification of Benefits Specialist
Only for registered members San Antonio, TX
-
Business Growth Development Specialist
Only for registered members San Antonio, TX
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Broker Helpline Specialist
Full time Only for registered members San Antonio
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Nurse Practitioner/ Physician Assistant
Only for registered members San Antonio, TX
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Primary Care Physician
Only for registered members San Antonio, TX
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Nurse III
Full time Only for registered members San Antonio
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Psychosocial Rehabilitation Specialist
Only for registered members San Antonio, TX
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Specialist, Procurement
Full time Only for registered members San Antonio
-
Curriculum Specialist-Science
Only for registered members San Antonio, TX
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Parenting Programs In-Home Specialist
Only for registered members San Antonio, TX
-
Outpatient Physical Therapist
Only for registered members San Antonio, TX
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Curriculum Coordinator
Only for registered members San Antonio, TX
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Director of Behavioral Health Services
Full time Only for registered members San Antonio