Managed Care Jobs in Schertz
1 - 10 of 10
Search Results - Managed Care Jobs in Schertz
University Health-Schertz-
care, prior authorization, concurrent review, appeals, or case management experience required.
Working knowledge of:
• NCQA Utilization Management Standards
• URAC Utilization Management Standards
• CMS Managed Care requirements...
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Nexus-Schertz-
making.
Education and Experience
• BSN with 1–2 years’ experience in Workers' Compensation-related case management within a Managed Care setting.
• Experience with various state evidence-based medicine guidelines.
• Experience in a previous management...
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University Health-Schertz-
an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience.
Working...
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University Health-Seguin, 16 mi from Schertz-
care, prior authorization, concurrent review, appeals, or case management experience required.
Working knowledge of:
• NCQA Utilization Management Standards
• URAC Utilization Management Standards
• CMS Managed Care requirements...
Read more
University Health-San Antonio, 19 mi from Schertz-
degree in business, health care or related field with at least two years' experience in the managed care industry is required. Minimum of five years' experience in the managed care industry and two years' Member Advocacy work may be substituted...
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University Health-Universal City (TX), 4 mi from Schertz-
care, prior authorization, concurrent review, appeals, or case management experience required.
Working knowledge of:
• NCQA Utilization Management Standards
• URAC Utilization Management Standards
• CMS Managed Care requirements...
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University Health-San Antonio, 19 mi from Schertz-
Management staff regarding plans to achieve the designated objectives of network development and managed care contracts.
EDUCATION/EXPERIENCE
Associates degree in computer science, health care or related field is preferred. Minimum of one year health care...
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University Health-Converse (TX), 6 mi from Schertz-
care, prior authorization, concurrent review, appeals, or case management experience required.
Working knowledge of:
• NCQA Utilization Management Standards
• URAC Utilization Management Standards
• CMS Managed Care requirements...
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University Health-San Antonio, 19 mi from Schertz-
and training.
EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical, or managed care environment, including two years at the processor level required. Minimum of five years supervisory...
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University Health-Seguin, 16 mi from Schertz-
an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience.
Working...
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