- Genesis Healthcare (Dallas, TX)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient ... of clinical requirements, and recommendations from the Clinical Director . 10. Administers financial controls of revenue... clinical management … more
- Texas A&M University System (Gonzales, TX)
- …shipment, etc. Consults with TVMDL colleagues to provide a complete, holistic approach to case management for all clients when appropriate. If appropriate, m ay ... client communications, quality assurance, safety, and employee well-being. The Resident Director takes appropriate action on executive management decisions… more
- UTMB Health (Webster, TX)
- …+ Ensures timely intervention to prevent delays in transfer and transition of care. Case Management + Assists health care providers in monitoring patients with ... Utilization Review Case Mgr CMC- Clear Lake Center **Webster, Texas,...Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2505026 The mission of… more
- Humana (Austin, TX)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Austin, TX)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
- Evolent (Austin, TX)
- …impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and … more
- Datavant (Austin, TX)
- …of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be ... evolve and grow. **Key Qualifications** **Required** + 8+ years of product management experience in healthcare, including ownership of clinical , risk adjustment,… more
- Elevance Health (Grand Prairie, TX)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to...an entire clinical program and/or independently performs clinical reviews. + Typically has program management … more
- Texas Health Resources (Arlington, TX)
- …Applies nursing/ clinical knowledge skills and problem solving techniques to the case management process. 5. Meets directly with patient and family members ... manager and interdisciplinary team. 7. Documents the provision of case management services. 8. Assist in reviewing...director and/or manager including but not limited to management growth. 5% What You Need: Education Associate's Degree… more
- CenterWell (Fort Worth, TX)
- …to adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader...clinical leader of our primary care team, combining clinical practice with leadership and operational management … more