- 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
- MD Anderson Cancer Center (Houston, TX)
- …nursing experience in a hospital or clinic setting, to include experience as a case manager, triage nurse, utilization review nurse, call center nurse, ... nursing experience in a hospital or clinic setting, to include experience as a case manager, triage nurse, utilization review nurse, call center nurse… 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 ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Datavant (Austin, TX)
- …###@datavant.com . We will review your request for reasonable accommodation on a case -by- case basis. For more information about how we collect and use your ... benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. +… more
- Highmark Health (Austin, TX)
- …insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) ... Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies,… more
- Deloitte (Houston, TX)
- …PMs, Project Coordinators, etc. + 3+ years of project / program financial management (eg, Planning, Forecasting, Budgeting, Business Case Development, etc.) in ... you will play a key role in leveraging leading program and project management practices and methodologies to enable world-class delivery of our major internal… more
- Global Foundries (Austin, TX)
- …elements, provide data architecture in architecture and sequence diagrams, review and establish entity relationship diagrams, document design specifications. Debug ... avro, iceberg); (2) large-scale data analytics, business intelligence (BI) workloads management , Migrating Data and Analytics workload to the Cloud AWS (Redshift,… more
- Molina Healthcare (Fort Worth, TX)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...the specific programs supported by the plan such as Utilization Review , Medical Claims Review ,… more
- Genesis Healthcare (Dallas, TX)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... Director of Rehab PTA is responsible for the efficient management of rehabilitation services in their assigned account(s). This...Director in the timely completion of the annual merit review for therapy staff. 6. Assists Clinical Operations Area… more