- Texas Health Resources (Bedford, TX)
- …+ Team environment that encourages creativity + Great Benefits/401K/PTO + Highly engaged Behavioral Health Leadership Team **Education** . High School Diploma or ... **Mental Health Technician** **Night Shift - PRN** _Texas ...for scheduling . Complies with department guidelines for supply utilization . Demonstrates adaptability and flexibility to changes in… more
- Highmark Health (Austin, TX)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member… more
- HCA Healthcare (Corpus Christi, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... Center_ provides emergency medical services, laboratory, imaging services and outpatient behavioral health services. _Bayview Behavioral Hospital_ provides… more
- CVS Health (Austin, TX)
- …Michigan, Virginia, Pennsylvania, and New Jersey** offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... Multiple state licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health Plan… more
- HCA Healthcare (San Antonio, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic… more
- Highmark Health (Austin, TX)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... nature for profiling providers, assessing patient outcomes, studying cost and utilization trends and quantitative projections of industry and competitor performance,… more
- Baylor Scott & White Health (College Station, TX)
- …patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes ... by effectively managing care and resources to reduce unnecessary utilization . **Location: College Station, TX** **700 Scott & White Drive, College Station, 77845**… more
- Baylor Scott & White Health (College Station, TX)
- …patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes ... by effectively managing care and resources to reduce unnecessary utilization . **Location: College Station, TX -** **700 Scott & White Drive, College Station, 77845**… more
- Molina Healthcare (TX)
- …the following functions: utilization management, care management, care transitions, behavioral health , long-term services and supports (LTSS), and other ... transitions of care, utilization management (prior-authorization, inpatient review), behavioral health , long-term services and supports (LTSS), and other… more
- Elevance Health (Rockwall, TX)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member history… more