- Cognizant (Austin, TX)
- …Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to ... submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical ...background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed… more
- Gentiva (Addison, TX)
- …We are proud to be an EEO employer + We maintain a drug-free workplace ReqID: 2025-128459 Category: Clinical Management Position Type: Full-Time Company: Illumia ... ** Clinical Manager** to join our **Advanced Illness Management (AIM)** team in Addison, TX. This role reports...Addison, TX** **Key Responsibilities** + Coordinate and oversee daily clinical activities within the AIM program , including… more
- Baylor Scott & White Health (Temple, TX)
- …Acts as a trusted change agent and subject matter expert (SME) related to program management , process improvement, clinical and contract performance. + Acts ... teams and internal/external stakeholders. **KEY SUCCESS FACTORS** Project and/or Program Management experienceProcess improvement and/or quality improvement… more
- The Cigna Group (Austin, TX)
- …(safety, observability, model governance) in pharmacy and PBS operations (eg, clinical capabilities), digital experiences, and analytics products. + **Security, Risk ... & Compliance** : Integrate **CIP** standards (eg, change management , supplier security, data handling) into architecture guardrails and developer‑facing guidance;… more
- HCA Healthcare (Dallas, TX)
- …in collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation Specialist works closely with hospital case ... has agreed to participate in a HCA acute rehabilitation program , the Clinical Rehabilitation Specialist will assist...benefit from rehab services. + Performs on-site and off-site clinical evaluation to assist Rehab Medical Director … more
- UTMB Health (Galveston, TX)
- …a record of accomplishment in education to serve as the Vice Chair, Education and Program Director of the Family Medicine Residency Program . The Vice Chair ... Associate Professor Clinical Practice - Family Medicine **Galveston, Texas, United...faculty and resident physicians. The Vice Chair, Education and Program Director of the Family Medicine Residency… more
- Health Care Service Corporation (Richardson, TX)
- …Surgeons, or the Advisory Board of Osteopathic Specialists + 5 years of clinical experience + Analytical and communication skills + Strategic thinking skills + ... Hematology and Oncology experience + Peer to peer experience + Utilization Management /review experience **This is a Telecommute (Remote) role: Must reside withing… more
- Fresenius Medical Center (Paris, TX)
- …equivalent combination of education and experience. + 3+ years' supervisory or project/ program management experience preferred. + Minimum of 12 months experience ... values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. Ensure provision… more
- HCA Healthcare (Austin, TX)
- …through clinical screenings and assessments in collaboration with hospital case management and the rehab Medical Director . + You will utilize appropriate ... rehab services. + You will perform on-site and off-site clinical evaluation to assist Rehab Medical Director ...You will provide information related to inpatient rehab and program features to Case Management to share… more
- MD Anderson Cancer Center (Houston, TX)
- …institutional Clinical Engineering operations. Under direct supervision assists with program management , including coordination / participation in project ... in development of policies and guidelines and provision of Clinical Engineering services. Ensure all program components...Chain Mgmt., Fac. Mgmt. teams and Info-Sec. Assists department Director and other Clinical Engineering management… more