- Evolent (Austin, TX)
- …provider and vendor contracting, compliance, population health (including utilization management ), Medicare, and Medicaid. + Draft, review and negotiate ... the Senior Vice President, Deputy General Counsel, the Attorney will prepare and review a variety of complex contracts and provide legal counsel, guidance, and… more
- ChenMed (Houston, TX)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education… more
- Sysco (Houston, TX)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance...the SC + Fully leverages our CRM in the management of SC's sales planning, prospecting, and daily customer… more
- Houston Methodist (Sugar Land, TX)
- …monitoring and reporting of occupational injuries and illnesses, return-to-work status, case management , immunization administration and compliance, safe patient ... to physicians as appropriate. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Conducts initial management , review and monitoring of all occupational injuries and… more
- Houston Methodist (Houston, TX)
- …monitoring and reporting of occupational injuries and illnesses, return-to-work status, case management , immunization administration and compliance, safe patient ... to physicians as appropriate. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Conducts initial management , review and monitoring of all occupational injuries and… more
- CVS Health (Austin, TX)
- …responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise and ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of… more
- CVS Health (Austin, TX)
- …and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination ... will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. In this role you will provide clinical expertise… more
- Houston Methodist (Houston, TX)
- …solutions to business problems. Responsible for requirements development and management . This includes producing, analyzing, validating and documenting business, ... and maintain the financial model in Excel. This position will also help review financial projections and assumptions associated with new capital projects and capital… more
- CVS Health (Austin, TX)
- …Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes...eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state… more
- BluePearl (San Antonio, TX)
- …latest practices in emergency veterinary medicine. Phase 3 (Weeks 33-52): + **Independent Case Management ** : Take on full responsibility for managing emergency ... fast-paced environment. + **Ongoing Mentorship** : Regular check-ins with mentors to review cases, address challenges, and refine clinical skills. + **Exposure to… more