- Centene Corporation (Austin, TX)
- …in California or Texas.** **Hours are 9:30am-6pm PST.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
- HCA Healthcare (Austin, TX)
- …with us! **Job Summary and Qualifications** Manages the day to day processes for concurrent review , peer review , OPPE/FPPE. Assists the Director in ... and one or more years experience with performance improvement, chart audits, concurrent review , and regulatory preparedness. + Excellent communication and… more
- CVS Health (Austin, TX)
- …needed as well as outreach calls to physician offices. -Conducts prospective, concurrent , and/or retrospective review of cases using health plan/employer agreed ... requirements. -Facilitation of documentation of program agreement with client. * Review complex clinical criteria-based prior authorizations in accordance with… more