Sales Manager jobs in the Medical & Health category in San Antonio, Texas

Description: The Transition Care Manager is responsible for utilization management and inpatient care management coordination and will perform reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services by following medical guidelines and benefit determination. They will also identify, screen, track, monitor and coordinate the care of members w...
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Description: Not sure if this role is for you? View the Realistic Job Preview that is focused on the things that matter most to you: Hospice_RN_OptumHealth.pdf We are seeking a knowledgeable, compassionate RN to provide direct care to hospice patients in their homes or skilled nursing facilities. As the Hospice Case Manager, you would work with other healthcare professionals to determine the best ...
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Description: Under the supervision of the Director, Utilization Management, the manager is responsible for the daily clinical operations of the centralized UM department including Appeals, Prior Authorization, Medical Claim Review and Telephonic Inpatient Case Management. Daily coordination with Medical Directors, UM Nurses, UM Coordinators, Network Management and other various PHC departments and...
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Description: The Transition Care Manager is responsible for utilization management and inpatient care management coordination and will perform reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services by following medical guidelines and benefit determination. They will also identify, screen, track, monitor and coordinate the care of members w...
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MedPro Technologies, a leading IT support services contractor for the U.S. government, is seekingan experienced Analyst (RN Nurse Case Manager): Assists in the development of functional programs and materials. Assists in the tracking and evaluation of on-going operations. Reviews forms and reports and confers with management and users about format, distribution, and purpose and to identify problem...
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Position Description: We are currently seeking a Bilingual (Englsih/Spanish-speaking) Medical Nurse Case Manager (RN) to cover cases in the San Antonio, Laredo, and Del Rio, TX areas. Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorney...
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RN Field Case Manager - Home Care‬ ‬‬‬ Thank You Nurses, LTD. – San Antonio, TX Overview: Thank You Nurses, is a Medicare-certified and state-licensed home health agency providing comprehensive healthcare services in the private comfort of patients’ homes that promote healing at home. Using a customized and personalized care plan, our team helps patients and their families move safely, efficiently...
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Patient Safety Officer-University Health System University Health System is nearing completion of a $899M capital improvement program that includes a 260,000 square foot clinical pavilion with ambulatory surgery center at the downtown Robert B. Green Campus and a 1,000,000 square foot tower with 420 patient beds, expanded emergency center, and 35 operating rooms. POSITION SUMMARY/RESPONSIBILITIES ...
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Director of Intensive Care Unit RN, Registered Nurse San Antonio, TX Metro Area $80,000 - $110,000 Here is a great opportunity for a highly motivated and experienced registered nurse to take on the role of Director of ICU at a reputable hospital located in the San Antonio metro area. Director of Director of Critical Care / ICU: Reports to the CNO 20 bed Critical Care Unit 60 FTEs BSN required 2+ y...
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Description: Performs quality reviews on DataRAPStaff to ensure the process of validating medical record documentation, as per ICD-9 CM and CMS Risk Adjustment Data Validation requirements, is maintained. Performs quality reviews on documentation from providers participating with WellMed Medical Management risk adjustment model, ensuring ICD-9 CM and CMS Risk Adjustment Data Validation requirement...
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Regional Director, Case Management $90,000 - $120,000 Director Bonus Comprehensive Relo Package (Direct Bill) - San Antonio, TX - 6 hospital system - For-profit, Part of Vanguard System - Building 7th hospital to open soon Regional Director, Case Management: BSN Degree required, Masters preferred 3+ years Director level experience Prefer experience over multiple sites Must have Acute Care Case man...
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Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
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Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries and flexible schedules for many positions. Registered Nurse A Registered Nurse, with advanced skills, employed by...
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Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries and flexible schedules for many positions. Registered Nurse A Registered Nurse, with advanced skills, employed by...
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Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries and flexible schedules for many positions. Continuous Care LPN / LVN Provide skilled professional nursing care to...
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Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries and flexible schedules for many positions. Continuous Care LPN / LVN Provide skilled professional nursing care to...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

Odyssey Hospice, Inc. is the leader in hospice care, making a difference in the lives of terminally ill patients. Join the hospice team that touches so many. Besides a supportive environment where great works are acknowledged and celebrated, Odyssey employees enjoy competitive salaries, flexible schedules for many positions, and a range of excellent Full-Time benefits, including: • Medical insuran...
full job description

POSITION SUMMARY: Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal s...
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Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Monitors information daily as appropriate including member metrics and staff producti...
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Description: The RN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The Health Coach will interact and collaborate with multidisciplinary care teams, which include p...
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