• Scheduler Lead

    HCA Healthcare (Houston, TX)
    …Summary and Qualifications** Under the general supervision of the Pre-Admit Manager , performs support services for the department, assigned clerical, secretarial, ... and related responsibilities, promoting communication between the Director, Manager , medical staff, hospital staff, and patients. Provides effective scheduling by… more
    HCA Healthcare (07/12/25)
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  • Medical Director

    Elevance Health (TX)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
    Elevance Health (09/29/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral… more
    Molina Healthcare (09/26/25)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Mckinney, TX)
    …to address ongoing issues tied to patient care coordination, discharge planning, case management, and utilization review . + Monitor procedures ... Medical Center, Garland/McKinney,** **5252 W University Dr, McKinney, 75071** **DEPARTMENT: Case Management, Manager Comprehensive Care, RN** **SHIFT: Fulltime,… more
    Baylor Scott & White Health (09/03/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Grand Prairie, TX)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss … more
    Elevance Health (09/10/25)
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  • Discharge Planner

    Prime Healthcare (Mission, TX)
    …information, and help develop safe, patient-focused discharge plans under the guidance of the Case Manager /Social Worker + C ase Management Support - assist ... Additional Required Knowledge, Skills & Abilities: + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both… more
    Prime Healthcare (10/01/25)
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  • Infusion Referral Nurse Sr- REMOTE

    Prime Therapeutics (Austin, TX)
    …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...Quality oversight for this program is provided by the Manager , Patient Programs. **Minimum Qualifications** + Associates - Nursing… more
    Prime Therapeutics (09/04/25)
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  • Associate Medical Director-Dallas

    CenterWell (Fort Worth, TX)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… more
    CenterWell (08/12/25)
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  • Associate Medical Director- Dallas

    CenterWell (Arlington, TX)
    …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
    CenterWell (07/18/25)
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  • Project Engineer

    Baker Construction (TX)
    …workforce utilization , and MBE/SBE participation, and advise the Project Manager of issues. Interface with Safety and Risk Management in establishing clinics, ... job cost summaries, and other reports. Alert the Superintendent and Project Manager of project impact relating to resource management and crew make-up/size. Generate… more
    Baker Construction (09/27/25)
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