- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- Molina Healthcare (Dallas, TX)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary prescription… more
- Molina Healthcare (Houston, TX)
- …unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of… more
- Texas Health Resources (Arlington, TX)
- …Requirements; 1. Maintains a current knowledge of regulatory requirements for utilization management including but not limited to Joint Commission, TMF, TDI, ... and other hospital personnel in understanding payor plans, resolving utilization management issues and assigning appropriate patient...Medicare, and Milliman Care Guidelines. 2. Applies knowledge of Medicare and Medicaid regulations to … more
- HCA Healthcare (Fort Worth, TX)
- …**Job Summary and Qualifications** + Under the supervision of the Director of Case Management , the Case Management Manager performs case management ... Medical City Fort Worth team is looking for a Manager of Case Management . HCA Healthcare is...projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +… more
- Houston Methodist (Houston, TX)
- …payor requirements/issues, and eligibility for state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case ... At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN)...registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
- UTMB Health (Webster, TX)
- Senior Clinical IS Project Manager (Remote) - ITS-Project Management Office **Webster, Texas, United States** **New** Information Technology UTMB Health ... cycle. **Job Duties:** The role of the Senior Project Manager is to plan, execute, and finalize several small...time and on budget. The role requires solid project management skills and the utilization of project… more
- Caterpillar, Inc. (Irving, TX)
- …community, and your world. **Job Summary:** Leads the Enterprise IT Asset Management team across Caterpillar. Organization is responsible for governance of both ... Cyber Security, Enterprise Architecture, Business Unit IT, Purchasing / Vendor Management organizations and Business Resources (Finance) to ensure assets are… more
- Burns & McDonnell (Fort Worth, TX)
- …and implementation of processes, procedures, strategy, execution plans, resource planning, risk management , and reporting tools. The Project Manager will lead ... a multi-disciplined team, and ensure the efficient and cost-effective utilization of staff. + Responsible for management ...effectively present complex information to all levels of employees, management , and clients. + Expert knowledge of… more
Recent Jobs
-
Principal Scientist, Biostatistics
- Merck & Co. (Rahway, NJ)
-
Manager V, Field Service Engineer (M5)
- Applied Materials (Sherman, TX)
-
MS&T Specialist II
- Aequor (Davie, FL)
-
Associate Director, EDC Programming
- Insmed Incorporated (San Diego, CA)