Elara Caring is seeking a Registered Nurse (RN) Case Manager, Hospice for a nursing job in Irving, Texas. Job Description & RequirementsSpecialty:...
Job Description & Requirements Occupational or Family Medicine Nurse Practitioner (NP) StartDate: ASAP Available Shifts: 8 Pay Rate: $72.75 - $78.75 This...
Medical City Dallas is seeking a night-time advanced practice provider to join their hospitalist team.
Medical City Plano is seeking a full-time nocturnist hospital based advanced practice provider to support the Neurosurgery and Ortho Spine service line. Comprehensive benefits package including 401k and paid malpractice. Provides Plano and Collin County with advanced health care.
General Notes Dell Medical School in conjunction with Dell Children's Medical Center of Central Texas (DCMCCT), is seeking Physician Assistants with cardiac critical care credentials to be part of the Texas Center for Pediatric and Congenital Heart Disease, working collaboratively with a multid
Primary Purpose Responsible for providing health care for patients in designated primary or specialty area, including patient diagnoses, treatment, education and referrals. Serves as a resource and role model for clinical practice, training,...
Accountable Healthcare Staffing has an immediate opening for a Long Term Acute Care Nurse in Dallas, TX. This assignment is for per diem shifts, and requires three 12-hour day or night shifts. Applicants should have at least 2 years of LTAC and Tele...
General Notes Dell Medical School in conjunction with Dell Children's Medical Center of Central Texas (DCMCCT), is seeking Physician Assistants with cardiac critical care credentials to be part of the Texas Center for Pediatric and Congenital Heart Disease, working collaboratively with a multid
A company is looking for a Medical Information Specialist (Nurse).
Elara Caring is seeking a Registered Nurse (RN) Home Health for a nursing job in Southlake, Texas. Job Description & RequirementsSpecialty: Home...
Primary Purpose Responsible for providing health care for patients in designated primary or specialty area, including patient diagnoses, treatment, education and referrals. Serves as a resource and role model for clinical practice, training,...
Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Medical City...
General Notes Dell Medical School in conjunction with Dell Children's Medical Center of Central Texas (DCMCCT), is seeking Physician Assistants with cardiac critical care credentials to be part of the Texas Center for Pediatric and Congenital Heart Disease, working collaboratively with a multid
EDUCATION/EXPERIENCE A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. LICENSURE/CERTIFICATION Must be currentl
PRIDE Health is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Dallas, Texas. Job Description & RequirementsSpecialty: Research /...
Slate Healthcare is seeking a travel nurse RN Clinic for a travel nursing job in Dallas, Texas. Job Description & RequirementsSpecialty: ClinicDiscipline:...
Key Responsibilities
Perform clinical reviews of denied cases and reevaluate medical claims and records
Resolve escalated complaints regarding utilization management and report quality of care issues
Provide training and mentorship for less experienced appeals nurses and administrative team memb
Key Responsibilities
Lead and develop a multidisciplinary team, ensuring high performance and accountability
Oversee daily operations and ensure timely progression of members through surgical pathways
Monitor operational KPIs and collaborate with internal teams to resolve care-related issues
Re
Key Responsibilities
Conduct clinical audits and reviews to ensure compliance with coding and regulatory requirements
Utilize fraud detection software to assess potential fraud, waste, and abuse
Analyze claims and medical records to provide clinical opinions on appropriate service utilization
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