- BrightSpring Health Services (Fort Worth, TX)
- …operation preferred + A minimum of five years' experience in quality, data management , clinical informatics, or electronic medical records [EMR] + Demonstrates ... Our Company Pate Rehabilitation Overview The Clinical Liaison will generate patient referrals and coordinate pre-screens, admissions, and serving as the primary… more
- Evolent (Austin, TX)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of ... is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You...You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management , reviewing… more
- CVS Health (Austin, TX)
- …of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... social support system for patient health. + Develops a complex resource coordination system to assists with outpatient counseling, support groups, housing… more
- Houston Methodist (Houston, TX)
- …of department management and in collaboration with key stakeholders, the Clinical Value Analysis Service Line Lead position will execute upon an annual work ... and professional manner. + Serves as a mentor and resource to the Clinical Value Analysis Coordinator...Implements change, demonstrating the ability to engage with physicians, management and clinical staff to achieve compliance… more
- CVS Health (Austin, TX)
- …social, psychosocial, or biopsychosocial functioning of members. + Provides intensive case management and consultation for clinical risk cases and management ... risk management and regulatory requirements. + Maintain current independent clinical licensure in good standing, meet all licensure requirements within state… more
- Elevance Health (Dallas, TX)
- …role oversees include case management , prescription verification, care management , nursing, and clinical program development. **Position Responsibilities** + ... pharmacy, which includes a minimum of three years of management experience leading clinical professionals; or any...purchase plan, life insurance, wellness programs and financial education resources , to name a few. Elevance Health operates in… more
- Molina Healthcare (San Antonio, TX)
- …Hearing Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies… more
- Highmark Health (Austin, TX)
- …large-scale programs. Manage, through collaboration, the day-to-day team activity of other clinical resources deployed to support the anchor, including MAQCs and ... pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management & Communication:** Ensure… more
- CVS Health (Austin, TX)
- …physicians for their clinical quality and effective use of health care resources . Under the direction of the Lead Clinical Psychologist, this position will ... team and the health plan medical directors. + Attend and participate in clinical meetings with care management and utilization management . Provide subject… more
- Canon USA & Affiliates (Austin, TX)
- …activation with a priority focus on unique and/or disruptive technologies. + Lead the management of clinical components of support at strategic KOL sites and ... **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW**...serving as a champion for KOL activation and relationship management at strategic sites while serving the needs of… more