• Utilization Review Nurse - Case Management - PRN

    Houston Methodist (The Woodlands, TX)
    …+ Collaborates with the access management team to ensure accurate and complete clinical and payer information. Educates members of the patient's healthcare team on ... ESSENTIAL FUNCTIONS** + Pro-actively participates as a member of the interdisciplinary clinical team to confirm appropriateness of the treatment plan relative to the… more
    Houston Methodist (07/12/25)
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  • Case Manager Advanced - Transition in Care

    Houston Methodist (Houston, TX)
    …a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for a designated assignment that is ... assures that admission and continued stay are medically necessary, communicating clinical information to payers to ensure reimbursement. The Advanced CM position… more
    Houston Methodist (08/27/25)
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  • Nurse Manager, Outpatient - Cardiology, Neurology…

    UTMB Health (Galveston, TX)
    …is a professional nurse leader who provides guidance and direction to outpatient clinical staff, and is responsible for assuring that nursing care is provided in ... clinics on a daily basis. **Job Duties:** Personnel Management + Defines clinical personnel requirements and position competencies for the practice with the Director… more
    UTMB Health (08/23/25)
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  • Associate Medical Director, Pharmacovigilance…

    Sumitomo Pharma (Austin, TX)
    …products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including ... Product Complaints (PCs) + Contributes to medical safety of clinical trials, including monitoring of clinical trial...safety information (ie safety graphs, tables, and reports) to project teams and senior management, pertaining to the safety… more
    Sumitomo Pharma (08/15/25)
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  • Health Informaticist

    Methodist Health System (Dallas, TX)
    …practice, the Health Informaticist contributes to patient safety by developing clinical documentation templates and decision support tools in collaboration with ... Familiar with current issues and trends in healthcare and clinical operations in a healthcare system. Healthcare knowledge base...deadlines, and time. Personally complete all aspects of a project in a reliable, accurate, and timely manner. Reports… more
    Methodist Health System (08/08/25)
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  • Professional Development Generalist - Emergency…

    Houston Methodist (Baytown, TX)
    …meet the identified needs of the staff, patients/families. + Serves as a clinical resource for complex and/or highly specialized patient care situations to patient ... time effectively and prioritize daily tasks to meet the needs of clinical areas and department. Completes activity/productivity & other reports on timely basis.… more
    Houston Methodist (07/02/25)
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  • Solutions Architect

    Evolent (Austin, TX)
    …platforms + Create technical specifications and system architecture that support clinical evidence alignment and quality improvement initiatives + Lead API design ... specialties + Implement real-time data synchronization that enables timely clinical decision-making **Lead Technical Excellence** + Provide architectural guidance to… more
    Evolent (06/26/25)
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  • Transplant Quality Coordinator | THOR

    Houston Methodist (Houston, TX)
    …the pre, post and LVAD patient populations through monitoring of clinical outcomes, of Transplant/VAD services including organizing, collecting validating compiling, ... hospital policies/procedures and applicable patient care protocols. + Serves as a clinical resource to staff members. Fosters teamwork approach in all interactions… more
    Houston Methodist (06/21/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Austin, TX)
    …improvement models. The incumbent plays different potential roles on a given project , to include elements of project leadership, problem-solving, data analytics, ... team development, communication, implementation, and project management. The incumbent often plays a central role...experience in managed care, primary care management or other clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC… more
    Highmark Health (08/20/25)
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  • Creative Services Traffic Coordinator

    Houston Methodist (Houston, TX)
    …from various internal clients at Houston Methodist. This position will ensure every project request meets all requirements to produce work as well as coordinate ... Serves as the point person for any questions regarding project workflow, job status and deadlines. + Acts as...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
    Houston Methodist (07/12/25)
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