- 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
- 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
- HCA Healthcare (Texas City, TX)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Director Case Management ? At HCA Houston Healthcare Mainland, you come ... 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
- 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
- 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 (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 (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
- 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 (Austin, TX)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Genesis Healthcare (Dallas, TX)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more