- Edwards Lifesciences (San Antonio, TX)
- …**How you will make an impact:** + Working independently in the areas of valve crimping, case management , pre- case planning, post- case management , 3 ... Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and...educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing… more
- Elevance Health (Houston, TX)
- …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... The **Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
- CenterWell (Austin, TX)
- …carriers + Previous Medicare/Medicaid experience a plus + Previous experience in chronic disease management , utilization management , case management , ... us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure...Hours are generally M-F 8-5; flexibility upon request to manager Travel: While this is a remote position, occasional… more
- ChenMed (Houston, TX)
- …+ Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, therapy suggestions, and more. Our aim is to choose ... focusing on safety and efficacy, while assisting in the creation and management of the formulary. + Reviews and verifies prescriptions and medication orders… more
- Sharecare (Austin, TX)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- Baker Construction (Austin, TX)
- …in establishing clinics, managing first report of injuries, and assisting with co-worker case management + Follows Company Recruitment and Hiring Guidelines + ... and other reports + Alerts the Superintendent and Project Manager of project impact relating to resource management...utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk… more
- Houston Methodist (Sugar Land, TX)
- …and daily shift assignments, staff performance evaluation feedback to the appropriate manager , and assists in the development of the departmental budget. This ... assembly, packaging, reprocessing and sterilization of instrumentation and assembly of case carts for the unit. The Sterile Processing Coordinator will maintain… more
- Elevance Health (Grand Prairie, TX)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
- The Center for Great Expectations (TX)
- …Adolescent Residential Program Description Under the supervision of the Program Manager , the Program Administrator will help guide and implement the administrative ... + Responsible for implementing the overall planning, operation, and management of the facility, including facility's recreational clinical programming and… more
- Lumen (Austin, TX)
- …world and shape the future. **The Role** As an Inside Sales Lead Generation Manager you're tasked with leading a group of highly motivated and talented Sales ... the key to success of Lumen. The Lead Generation Manager must be passionate about sales and building a...ethical behavior with high integrity daily + Strong time management , interpersonal, conflict resolution, and collaborative selling skills +… more