• Mkt Manager Utilization Mgmt - Texas…

    Catholic Health Initiatives (Houston, TX)
    **Responsibilities** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective ... medical necessity determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management , performing essential duties… more
    Catholic Health Initiatives (05/04/25)
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  • Case Manager (RN) - PRN Utilization…

    Houston Methodist (The Woodlands, TX)
    …requirements/issues, and eligibility for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated… more
    Houston Methodist (02/08/25)
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  • Utilization Review Case Manager Per…

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
    Dallas Behavioral Healthcare Hospital (03/14/25)
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  • Utilization Management…

    Elevance Health (San Antonio, TX)
    …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... Health location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible… more
    Elevance Health (04/16/25)
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  • Pharmacist, Utilization Mgmt (CA & WA)

    Molina Healthcare (Austin, TX)
    … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... selected for this position must be licensed in both states.** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all… more
    Molina Healthcare (05/02/25)
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  • Manager - Case Management and Social…

    Houston Methodist (Houston, TX)
    …to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...and other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims… more
    Houston Methodist (04/29/25)
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  • Project Manager - Program Management…

    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
    Burns & McDonnell (03/14/25)
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  • Sr. Manager , Change Management

    C&W Services (Austin, TX)
    **Job Title** Sr. Manager , Change Management **Job Description Summary** We are seeking a highly skilled and dynamic Sr. Manager , Change Management to ... sustain continuous change. **Job Description** **Key Responsibilities:** + **Change Management Strategy** : Crafts and executes comprehensive change management… more
    C&W Services (05/01/25)
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  • Strategy Program Manager , StoresSec

    Amazon (Austin, TX)
    …measure employee satisfaction and engagement. Key job responsibilities Site Strategy & Space Management : In this capacity, the Program Manager will lead space ... aspect of this role involves creating regular reporting mechanisms to track occupancy, utilization , and future space requirements. The Program Manager will serve… more
    Amazon (05/03/25)
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  • System Float Pool - Case Manager - PRN (36…

    Houston Methodist (Houston, TX)
    …requirements/issues, and eligibility for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case ... Certification -- Case Management -related **OR** + ACM - Accredited Case Manager (NBCM) ** KNOWLEDGE , SKILLS, AND ABILITIES** + Demonstrates the skills and… more
    Houston Methodist (03/25/25)
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