Clinical Auditor - Austin

+Job summary · Audits clinical documentation for compliance, billing, and clinical quality issues. · Duties And ResponsibilitiesAudits clinical documentation for compliance, billing, and clinical quality issues. · +Graduate of an accredited school of nursing. · ...

Assist the Director of Quality and Compliance with compliance auditing and independent monitoring activities of Hospice Austin to ensure clinical and business areas comply with applicable State and Federal laws and rules and regulations related to Medicare and Medicaid. · ...

Overview · The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery programs and clinical services. This position is responsible for evaluating the eff ...

The Texas Health and Human Services Commission is seeking a Nurse III Managed Care Nurse Analyst. The role involves complex assessments and analyses of Medicaid MCO utilization management policies and procedures. · Reviews clinical documentation, Medicaid MCO policies and procedu ...

The Texas Health and Human Services Commission (HHSC) seeks a Nurse III Managed Care Nurse Analyst to join their team in creating a positive impact on the lives of fellow Texans. · Reviews clinical documentation, Medicaid MCO policies and procedures. · Participates effectively in ...

The Nurse III, Managed Care Nurse Analyst, is a senior level position that reports to an Acute Care Utilization Review Unit's (ACUR) Managed Care Clinical Review Manager.This position performs complex assessment and analysis of Medicaid MCO utilization management policies and pro ...

The Nurse III Managed Care Nurse Analyst position at Texas Health and Human Services Commission involves working as an effective team member within the Acute Care Utilization Review Unit to ensure Texas Medicaid recipients have appropriate access and coordination of medically nec ...

The Nurse III Managed Care Nurse Analyst position at the Texas Health and Human Services Commission (HHSC) involves utilizing considerable clinical experience and highly developed research skills. This senior-level role reports to an Acute Care Utilization Review Unit's (ACUR) Ma ...

The Registered Therapist V will ensure Texas Medicaid recipients have appropriate access and coordination of medically necessary services through contracted managed care organizations (MCOs) in the STAR, STAR+PLUS, STAR Kids, and STAR Health programs. · This employee will establi ...

The Registered Therapist V will ensure Texas Medicaid recipients have appropriate access and coordination of medically necessary services through contracted managed care organizations (MCOs) in the STAR, STAR+PLUS, STAR Kids, · STAR Health programs.This position will establish a ...

The Nurse III Managed Care Nurse Analyst position at Texas Health and Human Services Commission involves working with a team to ensure Texas Medicaid recipients have appropriate access and coordination of medically necessary services through contracted managed care organizations. ...

Join the Texas Health and Human Services Commission (HHSC) as a Nurse Policy Analyst (Nurse IV). Perform complex analysis of medical benefits for Medicaid/CHIP Office of Policy. Lead internal workgroups and projects. Mentor other staff. · ...

Join the Texas Health and Human Services Commission (HHSC) as a Nurse III Managed Care Analyst. · ...

We are seeking an experienced subject matter expert in molecular biology and/or microbiology to provide technical support to Signature Science's quality assurance (QA) contracts for national and homeland security programs, · Provide subject matter expertise in the areas of molecu ...

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us. · ...

The Nurse III Managed Care Nurse Analyst position involves working with a team to ensure Texas Medicaid recipients have appropriate access to medically necessary services through contracted managed care organizations. · ...

The Texas Health and Human Services Commission (HHSC) seeks a Nurse III Managed Care Nurse Analyst to perform complex assessment and analysis of Medicaid MCO utilization management policies. · Reviews clinical documentation. · Participates effectively in discussions of case revie ...

+The Texas Health and Human Services Commission (HHSC) seeks a Nurse IV to lead internal workgroups and projects. The ideal candidate will have experience conducting research, analyzing data, and developing policy for Medicaid benefits. · +Researches, analyzes, and synthesizes pe ...

This Behavioral Health Analyst role joins the Texas Health and Human Services Commission (HHSC) team. The analyst will perform complex behavioral health managed care utilization review oversight and consultation related to prior authorization and authorization of behavioral healt ...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. · ...