• Houston Methodist Hospital (Houston, TX)
    At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys...as a voice for the department. Sets direction for Case Management /Social Services which supports strategic and… more
    Appcast IO CPA (08/19/25)
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  • The Toro Company (El Paso, TX)
    …all safety, quality and production standards are met or exceeded and that utilization of the Lean principles is built into every process and project. Partners ... to the local groups of the different sites to assure standardization. Project Management : + Assure project coordination with Marketing, Sales, Senior Management ,… more
    DirectEmployers Association (09/05/25)
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  • Utilization Review Case

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (10/22/25)
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  • Director Utilization

    Texas Health Resources (Arlington, TX)
    Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
    Texas Health Resources (10/16/25)
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  • Senior Director Case

    Houston Methodist (Houston, TX)
    …for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the ... At Houston Methodist, the Sr Director Case Management position... initiatives. + Provides strategic vision and execution for case management and utilization review… more
    Houston Methodist (10/16/25)
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  • Director Case Management

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys...a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and… more
    Houston Methodist (08/20/25)
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  • Director Case Management

    HCA Healthcare (Fort Worth, TX)
    …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Alliance, you come first. HCA ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (09/26/25)
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  • National Accounts Medical Director

    Elevance Health (Grand Prairie, TX)
    …members. The medical director provides clinical expertise in all aspects of utilization review and case management . Provides input on the clinical ... clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case more
    Elevance Health (09/23/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of… more
    Humana (10/25/25)
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  • Medical Director - Medicaid Team - FL/SC

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
    Humana (10/28/25)
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