- Evolent (Austin, TX)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …needs related to the care of detained non-citizens. Behavioral Health Case Management Facilitates referral to psychiatric hospitalization, specialized community ... assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Provides supportive...with BHPs to establish a safe release plan for case management of those SMI patients and/or… more
- Turner & Townsend (Houston, TX)
- … management within the context of business results (business case , larger economic implications, business risk, etc.). **Supervisory Responsibilities: ** + ... Effectively recommends same for direct reports to next level management for review and approval. + Plans...approval. + Plans and monitors appropriate staffing levels and utilization of labor, including overtime. + Prepares and delivers… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- HCA Healthcare (Webster, TX)
- …in Social Work Services with experience in health care delivery systems with focus on Utilization Management & Case Management . experience Required Years ... Qualifications** POSITION SUMMARY: Under the direct supervision of the Case Management Director, collaborates with the ...ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of… more
- Sysco (Houston, TX)
- …reports and dashboards to communicate findings to stakeholders. Prepare reports on leave utilization and trends for management review . + **Collaboration:** ... The Leave of Absence Senior Analyst is responsible for analyzing and enhancing case management processes within the organization. This role involves conducting… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management . Ability to incorporate complex multiple causation in ... considered as primary participants for program acceptance. is responsible for providing HUD-VASH case management , defined as the provision of services by VA… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage... Case managers or Care managers on complex case management , including familiarity with social determinants… more