• VP Pharmacy - Health Plan

    Baylor Scott & White Health (Temple, TX)
    …(BSWH). This includes selecting and managing the outsourced Pharmacy Benefit Manager (PBM). They also handle the purchase, storage, compounding, packaging, and ... alignment with overall BSWH business priorities. Identifies and implements best practice programs and processes. Ensures compliance with all regulatory areas and… more
    Baylor Scott & White Health (06/22/25)
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  • Medical Authorization Splst

    Methodist Health System (Dallas, TX)
    …Be engaged and eager to build a winning team * Ability to interpret Payer Clinical Policies in reference to practice procedures. * Contacts Payer(s) in a timely ... and federal requirements * Refers authorization requests that require clinical judgment to the Provider, and/or Billing Manager... clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
    Methodist Health System (06/21/25)
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  • Registered Nurse, ER- Emergency Triage- Telehealth…

    ChenMed (Houston, TX)
    …ChenMed patients and their families. The incumbent in this role provides remote clinical advice and assessments within license and as possible given the technology ... and family. + Collaborates with on-call PCP as needed to support expected clinical outcomes. Implements the appropriate protocol to attain the expected outcome. +… more
    ChenMed (09/03/25)
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  • Certified Medical Assistant III

    Baylor Scott & White Health (Plano, TX)
    …care activities beyond the CMA 2 role. It also helps with daily clinical operations and project-based work. This position handles complex tasks and escalations. It ... be selected based on true job performance as a manager among their peer CMAs. Functions as the team...the team lead for the MA/CMA team. + Maintains clinical staff schedule. Assigns and monitors extra job duties… more
    Baylor Scott & White Health (08/28/25)
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  • Speech Languange Pathologist SLP Home Health

    Elara Caring (Helotes, TX)
    …and be able to lift 50-100 lbs. You will report to the Branch Director, Clinical Manager , Clinical Supervisor or designee. \#LI-SD1 _We value the unique ... direct Speech-Language pathology services in accordance with accepted standards of practice and certified by the patient's physician. + Selects diagnostic and… more
    Elara Caring (08/23/25)
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  • Utilization Management Dental Director- Texas

    Humana (Austin, TX)
    …and help us put health first** The Dental Director is responsible for providing clinical oversight to promote the oral health of the member population that Humana ... member grievances and appeals o Provide and advance the clinical vision for the future of oral health by...care reviews, as needed o Work with Specialty Quality Manager on annual quality work plan o Chair quarterly… more
    Humana (08/23/25)
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  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the… more
    Sharecare (08/13/25)
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  • Hospice RN Executive Director

    Gentiva (Beeville, TX)
    …led by the best leadership teams in the industry where a focus on clinical excellence, exemplary patient care, employee recognition and satisfaction is part of the ... more years' experience in hospice/home care required(if also functioning as the Clinical Nursing Supervisor for the office location). Experience could also be… more
    Gentiva (08/11/25)
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  • Bleeding Management Hospital Specialty Sales…

    Grifols Shared Services North America, Inc (Dallas, TX)
    …of their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Bleeding Management HSSR ... + Use of Technology like digital platforms **Primary Responsibilities:** Sales Excellence/ Clinical Expertise + Consistently demonstrate an in-depth knowledge of the… more
    Grifols Shared Services North America, Inc (07/03/25)
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  • Registered Nurse, Home Health

    AccentCare, Inc. (Weatherford, TX)
    …RN / Registered Nurse, Home Health Location: Weatherford Position: RN Case Manager , Home Health Job ID: 70181 Position Type: Full-Time Remote/Virtual Position: No ... and Purpose as an Registered Nurse, Home Health Case Manager Salary: $83,000-$100,000 This position is paid on a...approved school of professional nursing and currently licensed to practice as a registered nurse in the state of… more
    AccentCare, Inc. (09/05/25)
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