• Case Management Representative…

    Houston Methodist (Houston, TX)
    …Case Management Representative position is responsible for providing clerical assistance and data management support to the case management and social ... efficient utilization of resources and discharge planning including referrals management , communication and collaboration with post-acute care providers, access to… more
    Houston Methodist (08/20/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Austin, TX)
    …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid ... all stakeholders are aligned and informed, including new functionality needs, data connections, adaption to changing state regulations and the like. **Reporting… more
    Humana (08/26/25)
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  • Care Coordinator - Weight Management

    Houston Methodist (Houston, TX)
    …help from the department. This position provides technical, clerical assistance and data management support to the department staff to facilitate efficient ... utilization of resources including referrals management , communication and collaboration with providers, access to agencies and other community resources and… more
    Houston Methodist (07/29/25)
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  • Bleeding Management Hospital Specialty…

    Grifols Shared Services North America, Inc (Dallas, TX)
    …countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Bleeding… more
    Grifols Shared Services North America, Inc (07/03/25)
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  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during ... unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health… more
    Sharecare (08/13/25)
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  • Utilization Management Strategy Lead

    Humana (Austin, TX)
    …first** The UM Strategy team is a multi-disciplinary team focused on creating data -driven strategies to transform our business and the experiences we create for our ... concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate… more
    Humana (08/23/25)
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  • Sr Access Center Workforce Management

    Houston Methodist (Katy, TX)
    At Houston Methodist, the Senior Access Center Workforce Management Analyst position is responsible for analyzing staffing needs, optimizing scheduling, ... support business goals. This position identifies trends and provides data -driven recommendations to enhance operational performance and efficiency. Additional… more
    Houston Methodist (06/10/25)
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  • Associate Director, Technology Product…

    Wolters Kluwer (Coppell, TX)
    …Health Clinical Effectiveness team, the Associate Director, Technology Product Management , role for Medi-Span will govern assigned areas of the Medi-Span Product ... for assigned areas in Medi-Span by closely collaborating with Engineering, Clinical Content, Product Management , Systems Implementation, Customer Support,… more
    Wolters Kluwer (08/26/25)
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  • Division Director Case Management

    HCA Healthcare (Dallas, TX)
    …aspects of case management , providing direct onsite support and change management . Facility onsite support includes data analysis, facility gap assessments, ... within a large multi-hospital system required + 7+ years overall Clinical Case Management experience + Registered Nurse - Currently licensed as a registered… more
    HCA Healthcare (08/14/25)
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  • Program Mgr UR/Case Management - CMC…

    UTMB Health (Friendswood, TX)
    …cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/Case Management program by utilizing clinical knowledge, expertise, approved ... program and provides specific information related to case types, including financial data . + Maintains clinical expertise in specialty area and/or general… more
    UTMB Health (08/01/25)
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