- HCA Healthcare (San Antonio, TX)
- …of policies and procedures of the pharmacy department as it pertains to patient care and clinical pharmacy services. We are an amazing team that works ... monitoring program and prepares summary report for P&T Committee review . Pharmacy's voting member in the absence of the...in Pharmacy ONE of the following: + Two years clinical pharmacist experience in an acute care … more
- UTMB Health (Galveston, TX)
- …based clinical practice standards, - Guide patient safety & quality of care efforts - Lead clinical operations by direct oversight and standardization - ... operations to meet key processes, outcomes, and budgetary target business and clinical indicators. **ESSENTIAL JOB FUNCTIONS:** As a care provider, provide… more
- Abbott (Plano, TX)
- … clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist with ... you can do work that matters, grow, and learn, care for yourself and family, be your true self...Worker's Compensation and Medicare guidelines pertaining toProspective and Retrospective Utilization Review . Some experience in medical deviceor… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …clinical and social sciences, and the application of their knowledge to patient care and the education of others. Clinical Judgment: To ensure practice-based ... clinical pertinence reviews (routine medical record reviews). Clinical Management including indirect patient care : open...new focus on the Medical Home and Patient Centric Care , Utilization , Quality, and Patient Safety oversight,… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …leave in VA Time and Attendance System (VATAS) and for clinic cancellations. Clinical Management including indirect patient care : open encounter & open consult ... new focus on the Medical Home and Patient Centric Care , Utilization , Quality, and Patient Safety oversight,...of health, prevention of illness, treatment of disease, and care at the end of life. Medical/ Clinical … more
- Prime Therapeutics (Austin, TX)
- … clinical experience. + Experience in managed care , specialty drugs, care management and utilization review . + Meets Credentialing criteria. + ... for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a… more
- Houston Methodist (Houston, TX)
- …Assistant + Two years demonstrated leadership experience (ie, mentor, quality control, or clinical process improvement) preferably in health care required + One ... and/or surgeries), ensure medical necessity compliance, and verify eligibility for care . Other duties for the Clinic Coordinator position include independently and… more
- Evolent (Austin, TX)
- …healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong ... (FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical… more
- CVS Health (Austin, TX)
- …to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care... clinical quality and effective use of health care resources. **This is a remote based (work at… more
- AdventHealth (Mansfield, TX)
- …populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors these resources, and assumes ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...a professional and caring manner. The Nurse Manager maintains clinical competency to provide patient care as… more