• Program Mgr UR/ Case Management

    UTMB Health (Friendswood, TX)
    …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
    UTMB Health (08/01/25)
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  • Director of 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 (08/02/25)
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  • Director Case Management

    HCA Healthcare (Arlington, TX)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Director Case Management ? At Medical City Arlington, 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 (08/09/25)
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  • Market Case Management

    Ascension Health (Austin, TX)
    …FT - M-F Days + **Location:** Ascension Seton Administrative Offices The Regional Case Management Director has the overall responsibility for managing ... and coordinating case management department activities. The ...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    Ascension Health (08/08/25)
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  • Lead Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    Utilization Management Coordinator, Monday-Friday, 8a-4p. The Lead Utilization Management Coordinator will report to the Director of Utilization ... Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team… more
    Houston Behavioral Healthcare Hospital (08/09/25)
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  • Medical Director - Florida

    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 (07/29/25)
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  • Medical Director - South 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...size of region or line of business. The Medical Director conducts Utilization Management of… more
    Humana (07/11/25)
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  • Behavioral Health Medical Director

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
    Humana (08/09/25)
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  • Medical Director - NorthEast Region

    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 (07/25/25)
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  • Medical Director , MSK Surgery

    Evolent (Austin, TX)
    …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
    Evolent (05/20/25)
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