- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Monster (Mineola, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Monster (Longview, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... Description Summary: The Manager Pharmacy Services will manage the day-to-day activities...technical experience preferred 2 - 5 years of Leadership/ Management experience preferred Licenses, Registrations, or Certifications RPH License… more
- Monster (Irving, TX)
- …Additionally, the Lead serves as the main backup for the Travel and Expense manager and must be adept at communicating with all levels of the organization, including ... sessions. This role will report to the Travel and Expense Manager . Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of… more
- Monster (Irving, TX)
- Description Summary: Under the authority of the Procurement Manager , the Senior Buyer provides support throughout the various ministries to assist Associates with ... or order failed to transmit to vendor as expected. Management of STAT related requests, manually processing to ensure...subs or second sourcing options are unavailable or unacceptable. Utilization of HealthTrust as a resource to ensure substitute… more
- 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
- Molina Healthcare (Houston, TX)
- …unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… 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...initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and… 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 ... system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes...of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon… more
- Elevance Health (Grand Prairie, TX)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
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