• Lead Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …8a-4p. The Lead Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality ... has an opening for Full-time Lead Utilization Management Coordinator, Monday-Friday,...case management services to all patients and their families, to… more
    Houston Behavioral Healthcare Hospital (08/09/25)
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  • Program Mgr UR/Case Management - CMC…

    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 & Social…

    Houston Methodist (Houston, TX)
    …promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to ... At Houston Methodist, the Director Case Management & Social Services...excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of… more
    Houston Methodist (08/02/25)
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  • Remote Medical Director - Texas

    Centene Corporation (Austin, TX)
    …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management...Performs medical review activities pertaining to utilization review more
    Centene Corporation (08/02/25)
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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 ... the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit… more
    Evolent (05/20/25)
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  • Field Medical Director , Interventional…

    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
    Evolent (07/30/25)
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  • Director of Rehab

    Genesis Healthcare (Dallas, TX)
    …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (07/31/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of...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 (Marketplace)

    Molina Healthcare (Austin, TX)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (08/08/25)
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  • Medical Director - South Central

    Humana (Austin, TX)
    …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately...size of region or line of business. The Medical Director conducts Utilization Management of… more
    Humana (07/11/25)
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