- Sumitomo Pharma (Austin, TX)
- …Bachelor's or master's degree in business, scientific or related field (experience in case management a plus) + Demonstrated experience developing and managing ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more
- CVS Health (TX)
- … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. In this role you will provide clinical ... willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy... role you will provide oversight for medical policy implementation . You will participate in the development, implementation… more
- Apex Health Solutions (Houston, TX)
- Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in ... Nurse (RN) with active license in the state of Texas or Compact state. Certification in Case Management preferred (CCM or ACM) EXPERIENCE : Minimum 2 years in … more
- MD Anderson Cancer Center (Houston, TX)
- …and graduate students, trainees, professionals, employees and the public. *Associate Director - Pharmacy - Outpatient Operations* The Associate Director ... delivery. *Key Functions* *Operations: 45%* 1. Leads the development and implementation of administrative processes to maximize operational efficiency and quality… more
- RELX INC (Houston, TX)
- …prioritize using the best models from today's top creators for each legal use case . About the Role: The Director , Data Sciences raises data-driven decision ... 's immediate team to other teams within the director 's peers. The Director drives development and implementation across the team to the business, rooted… more
- CommonSpirit Health at Home (Houston, TX)
- …with Regional Vice President and reimbursement department. + Responsible for management of KPIs, SHP/CMS quality improvement indicators, HHRG/ Case mix ... **Job Summary and Responsibilities** **The Director , Operations and Clinical Services is accountable for...Services is accountable for supervision of the overall business management of the branch, including development of new programs… more
- Elevance Health (TX)
- …reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development/ implementation , ... **Medical Director ** _Please note that per our policy this...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- HCA Healthcare (Pasadena, TX)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare Southeast, you...Conferences and other interactions. + You will ensure the implementation of the patient's treatment plan that supports the… more
- Elevance Health (Grand Prairie, TX)
- **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required ... day Saturday rotation, once a month.** The **Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the administration of behavioral health… more
- Highmark Health (Austin, TX)
- …partnership director who manages non-clinical workforce activity. + **Relationship Management & Communication:** Ensure the team has established key contacts in ... and key internal/external stakeholders. **ESSENTIAL RESPONSIBILITIES** + **Strategic Roadmap Implementation :** Execute on the implementation of the strategic… more