- CenterWell (Longview, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- AdventHealth (Burleson, TX)
- …and completes Talent Care accordingly. + Assist with overseeing clinical teams to review utilization and options for product selection. + Assist Director ... **The role you'll contribute:** The Senior Clinical Resource Manager reports to the Director of Strategic Clinical Resource Management and Value Analysis. The… more
- Parsons Corporation (San Antonio, TX)
- …Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role involves ... Unit - San Antonio (NAMRU-SA) and its collaborating institutions in the management of research programs. NAMRU-SA's mission is to improve survival, operational… more
- HCA Healthcare (Live Oak, TX)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management + You will ... of quality and cost improvement, and develops systems to review utilization of resources and objectively measure...consult with facility-level staff regarding delegated utilization management and disease management … more
- HCA Healthcare (Houston, TX)
- …and other third-party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the ... Summary and Qualifications** Under the direction of the Case Management Manager and the Director of QRM,...extended stays in accordance with criteria approved by the Utilization Management Committee and Medical Staff with… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …(ERO), ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is supervisory. ... health assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Provides supportive counseling,… more
- HCA Healthcare (Houston, TX)
- …clerical, secretarial, and related responsibilities, promoting communication between the Director , Manager, medical staff, hospital staff, and patients. Provides ... effective scheduling by management of PODS (Prep Documentation System) and telehealth appointments....the Scheduling Supervisor. + Under the guidance of the Director and Assistant Director , it determines appropriate… more
- HCA Healthcare (Webster, TX)
- …patterns of care, and utilization of resources. 2. Collaborates with the Director of Case Management to implement policies and procedures to accomplish the ... POSITION SUMMARY: Under the direct supervision of the Case Management Director , collaborates with the Case Managers,...experience in health care delivery systems with focus on Utilization Management & Case Management .… more
- AdventHealth (Mansfield, TX)
- …high focus on nurse leader visits on days and nights. Discuss further with Director . **Location:** 2300 Lone Star Road, Mansfield, TX 76063 **The community you'll be ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...of the health care organization. Reporting to the department Director , this role collaborates with the Director … more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more