- Molina Healthcare (Dallas, TX)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures… more
- Sevita (Denton, TX)
- …every day. Join us today, and experience a career well lived. **Operations Management Area Director , IDD Services** _Denton, TX_ _Starting Salary: $75,000_ ... documentation. + Implement area core growth strategy to increase census, maximize utilization and occupancy percentages, and assist with new start development. +… more
- Global Foundries (Austin, TX)
- …value realization on a global scale. + Program Delivery & Change Management + Drive execution of major transformation programs-including ERP modernization, cloud ... honed in top consulting environments. + Champion enterprise-wide change management and foster alignment, engagement, and adoption across all organizational… more
- Health Care Service Corporation (Richardson, TX)
- …experience + Hematology and Oncology experience + Peer to peer experience + Utilization Management /review experience **This is a Telecommute (Remote) role: Must ... applications such as Microsoft Office Product and Lotus Notes) needed for electronic documentation of case reviews **PREFERRED REQUIREMENTS:** + 3 years Managed Care… more
- HCA Healthcare (San Antonio, TX)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management . + Consults ... with facility-level staff regarding delegated utilization management and disease management operations under managed...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services.… more
- CenterWell (Austin, TX)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- CVS Health (Dallas, TX)
- …(eg, Length of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... resolution of claims payment issues -Supports the administration of the hospital care, case management and quality management processes in compliance with… more
- ChenMed (Houston, TX)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... in conjunction with the transitional care team; hospital, SNF, post-acute, delegated utilization management and home-based services for the market. + Performs… more
- Immigration and Customs Enforcement (Houston, TX)
- …services at ICE detention facilities. Responsibilities include biopsychosocial assessments, case management , staff training, and suicide prevention coordination. ... to, suicide prevention, hunger strike, abuse, neglect and trauma, and integrative case management . Establishes and maintains liaison with other health services… more
- HCA Healthcare (Dallas, TX)
- …screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation Specialist ... works closely with hospital case management to ensure a responsive and...Specialist then provides this information to the Rehab Medical Director and responds to any question or request for… more