- CVS Health (Austin, TX)
- …involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk ... clinical/medical programs * Provide psychiatric leadership to an interdisciplinary utilization management team, including medical/clinical oversight, consultation… more
- Houston Methodist (Houston, TX)
- …units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and interprofessional ... health care team to ensure resource utilization is appropriate to the patient's clinical needs and...and special request concerning each patient. Coordinates with case manager to escalate cases. + Demonstrates teamwork by awareness… more
- Toyota (Plano, TX)
- …time._ **Who we're looking for** Reporting to the SmartPath/Monogram Digital Retail Manager - Sales, the SmartPath/Monogram Digital Retail Consultant will have two ... managing and leading new dealer launches for SmartPath/Monogram and improving the utilization of the platform in existing dealerships through relaunch efforts and… more
- Elevance Health (Grand Prairie, TX)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... RN license in applicable state(s) required. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Dallas, TX)
- …comply with CMS guidelines. These staff may also be involved in providing utilization management /prior authorization services as needed. * Supervises the unit's ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Elevance Health (Grand Prairie, TX)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… more
- Valmont Industries, Inc. (Brenham, TX)
- …that satisfies customer demand with optimum inventory levels and efficient resource utilization + Assist demand management in setting priorities when demand ... and distribution plans to balance demand and supply. 3. Order Tracking and Progress Management : - Monitor and track orders as they progress through the drafting and… more
- HCA Healthcare (Houston, TX)
- …Summary and Qualifications** Under the general supervision of the Pre-Admit Manager , performs support services for the department, assigned clerical, secretarial, ... and related responsibilities, promoting communication between the Director, Manager , medical staff, hospital staff, and patients. Provides effective scheduling by … more
- Molina Healthcare (Fort Worth, TX)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- Ryder System (Roanoke, TX)
- …position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations Management . **Essential Functions** + Collects ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more