- Elevance Health (TX)
- …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Elevance Health (Mesquite, 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
- HCA Healthcare (Webster, 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 ... care like family! Jump-start your career as a(an) Mental Health Prof III - Oncology today with HCA Houston...members, payer representatives, and other parties as appropriate about behavioral services. + Reviews, coaches, and helps with the… more
- Highmark Health (Austin, TX)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more
- San Antonio Behavioral Health (San Antonio, TX)
- …Duties: . Ensure quality care to patients by developing, implementing, and directing behavioral health treatment programs for inpatient services . Direct and ... efficient department operation . Review caseloads regularly to ensure appropriate utilization of services . Develop and implement operating policies and procedures… more
- Molina Healthcare (TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- HCA Healthcare (Houston, TX)
- …include: + **Comprehensive benefits** for medical, prescription drug, dental, vision, behavioral health and telemedicine services + **Wellbeing support,** ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved...be an advocate for and strive to protect the health , safety and rights of the patient. + Interactions… 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 ... Texsan, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care… more
- Centene Corporation (Austin, TX)
- …on workplace flexibility. POSITION IS REMOTE IDEAL CANDIDATE WILL HAVE BEHAVIORAL HEALTH PROGRAM DEVELOPMENT EXPERIENCE SUPPORTING COMMUNITY MEMBERS WITH ... team to provide insights to improve coordination of care, member utilization , and improve overall health and quality outcomes + May work across multiple Line of… more