- Covenant Health (Lubbock, TX)
- …hire: Bachelor's Degree in Nursing. + 1 year of experience in care management or utilization review in any setting or successful completion of TIPS program or ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, documentation… more
- HCA Healthcare (Austin, TX)
- …interdepartmental service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
- Texas Tech University (Lubbock, TX)
- …policies and procedures. Works under general supervision with evaluation based on overall results obtained. **Requisition ID:** 43293BR **Travel Required:** ... with other team members, management, and outside agencies to ensure successful utilization of all available insurance and retirement benefits by: + Overseeing and… more
- CVS Health (Austin, TX)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... one community at a time. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH)… more
- Evolent (Austin, TX)
- …**value- based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization ... Medical Oncology, you will play a pivotal role in advancing value- based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- Grundfos (Houston, TX)
- …employee stock purchase programs, etc. Certain roles are eligible to earn sales incentives based on revenue or utilization . To learn more about our benefits, ... Engineer Job Description Founded in 1923, Peerless Pump Company is a US- based manufacturer of horizontal and vertical centrifugal pumps for fire, industrial, and… more
- HCA Healthcare (Houston, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- HCA Healthcare (Tomball, TX)
- …and values. The clinical pharmacist is responsible for the safe, effective, evidence- based , and cost-effective selection and utilization of medications for the ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
- HCA Healthcare (Conroe, TX)
- …mission and values. The clinical pharmacist is responsible for the safe,effective,evidence- based ,and cost-effective selection and utilization of medications for ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more