Management Development IT Professional ASH Consultant (Jobs in AUSTIN, TX)   Requirement id 49740 Job title Consultant Job location in Austin, TX Skills required Management, Development, Health Care Data Models, IT Professional ASH Open Date 12-Nov-2015 Close Date Job type Contract Duration 6 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Consultant: Management, Development, Health Care Data Models, IT Professional ASH NOTE : Start Date : 11/20/2015 End Date : 06/19/2016 Submission Deadline : 11/18/2015 Client Info : COMSYS Description: The requisitioner has restricted the number of resource submittals to 120 Description/Comment: Level 10 H&PS "Conducts pre-service, concurrent/continued stay, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Service requests may be from electronic transmission, inbound calls and facsimile. Outbound calls to the provider may be required to gather additional information that may be needed. Conducts review activities which require the review of clinical information against client specific criteria, but excludes denial determinations. Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. Consults with clinical reviewers and/or medical directors regarding members diagnosis, strengths and deficits, current functioning at home, at work and in the community to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Collaborates with providers to assess members, needs for early identification of and proactive planning for therapy. Basic Qualifications: Must meet Texas State licensure requirements for practicing in related field(s) and possess current and unrestricted PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience in area of licensure in a hospital, clinic or agency. Bachelors degree (or higher) in Physical, Occupational, Speech Therapy from an approved / accredited school in related field (APTA, NBCOT, ASHA). Preferred Qualifications: Prior Authorization experience. 1 year of customer service or call-center experience, preferred. Claim reviews/audit experience, preferred. Data entry experience, preferred. Knowledge of utilization management process and ability to interpret and apply member contracts, and member benefits, preferred. Strong customer service focus, preferred: o Ability to empathize, o Demonstrated ability to effectively and sensitively interact with people from different cultural groups. o Excellent interpersonal and communication skills. o Basic computer knowledge with the ability to learn additional computer programs, required. o Proficient analysis and problem solving capabilities. o Proficient critical clinical thinking skills. o Must be able to communicate in English (verbal/ and written)." Start Time: 12:00 AM Hours: 8:00am to 5:00pm Location: AUSTIN TX 78727 Low Education: Additional Job Details: There will not be direct patient care involved. Therapists will be working with electronic patient records and performing prior auth reviews. Organization Distribution: Owning Organization: US - EXPERIS IT SERVICES Organization Distribution: Customer Defined Fields: Demand Status 1. Ready to Fill Client Requires Signed Supplier Flowdown No Received Signed Flowdown From Supplier Contract Type Normal Budgeted Rate - indicate currency and type (hourly/daily)* Lowest rate Comments / Special Conditions Level 10 H&PS "Conducts pre-service, concurrent/continued stay, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Service requests may be from electronic transmission, inbound calls and facsimile. Outbound calls to the provider may be required to gather additional informati   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 49740 while calling.   Other jobs in TX: Austin (21), Dallas (32), Fort Worth (30), Ft Worth (1), Grand Prairie (1), Houston (12), Hunstville (2), Huntsville (1), Irving (3), Plano (4), San Antonio (9), Woodlands (1), Management job openings in Austin, TX Jobs List UX Architect - 72319 Create date: 25-Feb-2021 Note: WE ARE LOOKING FOR MORE OF AN ARCHITECT HERE--DRUPAL NOT 100% REQUIRED LESS EXPERIENCE LIKE 2-3 YEARS IS OK AS WELL. Job Description: The User Experience practitioner is responsible for delivering human-centered design focused on complex customer activities within the financial services industry. UXAs/UXDs work alongside.... (This job is for - Axure Management Jobs in TX AUSTIN Architect - (in Austin, TX)) HP DMA Consultant - J-11-057-241 Create date: 12-Oct-2015 NOTE : Start Date : 10/20/2015 End Date : 04/15/2016 Submission Deadline : 10/16/2015 Client Info : COMSYS Description: Request data: HP DMA Consultant Install, configure, and deploy DMA instances in pre-production and production environments. This includes HPE Server .... (This job is for - Management Development Niche Jobs in TX AUSTIN Consultant - (in Austin, TX))    Management job openings in other states Jobs List Execution Team For AIM Projects - 63430 - NSP Create date: 25-Sep-2024 No of Submissions : 2 Start date : 10/28/2024 End Date : 04/30/2025 Submission deadline : 10/15/2024 Client Info : ATL - AIM General Description : This scope of work is a deliverable based engagement. The requirements of which include delivering the AIM directed portfolio of proje.... (This job is for - Management Stakeholders Jobs in GA Atlanta Consultant - (in Atlanta, GA)) Financial Statement Bank Of North Dakota-117-24-04-NSP Create date: 16-Aug-2024 Position Title:* 2024, 2025, And 2026 Financial Statement Audits - Bank Of North Dakota - 117-24-04 Start date : 10/7/2024 Submission deadline : 09/30/2024 05:00 PM CT Client Info : Auditor, Office of the Note: * 2024, 2025, and 2026 Financial Statement Audits - Bank of North Dakota <.... (This job is for - Analysis Management Jobs in ND Bismarck Consultant - (in Bismarck, ND)) IT Security Analyst 3 -133174 Create date: 24-Jul-2024 Bid Limit Per Vendor : 1 Start date : 08/19/2024 End Date : 1 Years from projected start date Submission deadline : 7/29/2024 at 10am EST. Client Info : CIP Note : Interview Process: Onsite interviews to be held at the Dimondale office. (NO virtual interviews will be requested).... (This job is for - Management Jobs in MI Dimondale Analyst - (in Dimondale, MI)) NC - Meck County - Developer/Programmer- Mid Level (741421) Create date: 01-Jul-2024 No of submissions :2 Start date :7/1/2024 End date :06/30/2025 Submission deadline :7/3/2024 Client info :Mecklenburg County - Information Techno Note: *Remote *Candidates submitted above the rate of $150.00 will not be considered. Do you accept this requirement? .... (This job is for - Management Jobs in NC Charlotte Developer - (in Charlotte, NC)) SECURITY ANALYST-Consultant - 11156-1 Create date: 18-Mar-2024 Start date :4/19/2024 Submission deadline : 3/25/2024 Client Info : Health & Environmental Control Department (DHEC) Note : Q) INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? A) An interview panel will conduct one initial round of in person, video, or phon.... (This job is for - NIST Management PCI Jobs in SC COLUMBIA Consultant - (in Columbia, SC))    Management job openings in TX Jobs List Database Analyst - 27140 Create date: 28-Aug-2017 Candidate must be our W2 Employee Candidates RTR form should be only on the name of APEX Systems Job Description : Description: Provides the highest technical expertise for the planning, analysis, design, implementation, maintenance, and control of the organizations server-class databases. Handles and lea.... (This job is for - Management Jobs in TX SanAntonio Analyst - (in San Antonio, TX)) US-Test Engineer V - J-11-190-823 Create date: 19-Dec-2016 Description: This is a unique global position that combines technical, marketing and pre-sales responsibilities into one exciting role. The senior Technical Marketing Engineer role is part of the HPE DCIG global product line management organization and requires close collaboration with product line management (PLM), product marketi.... (This job is for - Management Jobs in TX FRISCO Developer - (in Frisco, TX)) US-Sales Information Manager - J-11-154-557 Create date: 04-Oct-2016 Start Date: 8/22/2016 End Date: 07/31/2017 Submission Dead Line: 10/10/2016 Description: Sales Compensation Business Readiness Support Manager is accountable for the end to end Readiness process (Quota Deployment process) for AMS Sales Compensation ensuring sales reps are set up for incentive pay. The Sa.... (This job is for - Management Business Analyst Reporting Jobs in TX HOUSTON Manager - (in Houston, TX)) Fusion Developer Create date: 25-Jan-2016 NOTE Start Date : 02/04/2016 Submission Deadline : 01/29/2016 Client Info : EXPERIS Description: 5 years experience (Oracle Fusion) Rate: $35/hr C2C Location: El Paso, TX (or Conway, AR or Pontiac, MI) Duration: 6+months (This job is for - Developer Management Jobs in TX ElPaso Developer - (in EL PASO, TX)) DBA, Data Management Create date: 21-Jan-2016 Note: Start date : 2/2/2016 Submission deadline: 1/27/2016 Description: ORACLE DBA, data management migration catchers project (This job is for - ManagementDBA Jobs in TX ElPaso Developer - (in EL PASO, TX)) (Consultant: Management, Development, Health Care Data Models, IT Professional ASH in Austin, TX)

Featured Jobs Developer (Jobs in Atlanta, Georgia) Data Architect ETL Specialist (Jobs in Raleigh, North Carolina) SQL Architect (Jobs in Richmond, Virginia) Business Analyst Financial Analyst (Jobs in Fredericksburg, Virginia) Cyber Architect (Jobs in Columbia, South Carolina) VxRails Consultant (Jobs in Boise, Idaho) Project Manager Microsoft Manager (Jobs in Raleigh, North Carolina) Agile Jira UAT Manager (Jobs in Atlanta, Georgia) - - Analyst (Jobs in Portland, Oregon) HTMLCSSJavaScript Developer (Jobs in Lincoln, Nebraska)