- Humana (Austin, TX)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Austin, TX)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- CenterWell (Austin, TX)
- …toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management. The Medical ... a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Humana (Austin, TX)
- …Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Houston Methodist (Houston, TX)
- …strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible ... At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and… more
- HCA Healthcare (Irving, TX)
- …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital ... We care like family! Jump-start your career as a Director Case Management today with Medical City Las Colinas....vary by location._** Come join our team as a Director Case Management. We care for our community! Just… more
- HCA Healthcare (Houston, TX)
- …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital ... join an organization that invests in you as a Director Case Management? At HCA Houston Healthcare Northwest, you...make a difference. We are looking for a dedicated Director Case Management like you to be a part… more
- Devereux Advanced Behavioral Health (League City, TX)
- …payer and referral agency relationships, and drive referrals. Additionally, the Director will supervise the admissions and utilization management department, ... Texas in League City seeks a dynamic and driven ** Director of Business Development & Marketing** to join our...will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment program for… more
- Sevita (Cedar Park, TX)
- …DSPs in documenting incident reports; submits initial incident reports to the Program Director . 8. Billing and Utilization : Compiles or accumulates census or ... on a daily basis; maintains 3. Program Planning: Assists the Program Director in development of individual program plans; trains and monitors implementation of… more
- Molina Healthcare (San Antonio, TX)
- …clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management ... care team (ICT) activities. * Recruits, hires, trains, mentors and develops medical director staff as needed. * Ensures that authorization decisions are rendered by… more