- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …efficiently accomplish objectives; and, recommends controls to ensure sound program and operations management . Advises senior management on appropriate ... to the Health Care System Executive Medical Center Director, a major management advisor, analyst, and staff assistant to the Executive Medical Center Director.… more
- Molina Healthcare (TX)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Molina Healthcare (Houston, TX)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- ChenMed (Houston, TX)
- …in conjunction with the transitional care team; hospital, SNF, post-acute, delegated utilization management and home-based services for the market. + Performs ... Operations , Director, Network and Medical Costs, Market Sales Director/ Manager , Center Managers, external sub-specialists and providers in hospitals and… more
- Highmark Health (Austin, TX)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Elevance Health (TX)
- …+ Experience in managed care experience strongly preferred. + 1-2 years utilization management review experience preferred. + Knowledgeable of Medicaid/Medicare ... and overseeing clinical/non-clinical activities. Will also be responsible for utilization review/ management . May be responsible for developing and… more
- CenterWell (Arlington, TX)
- …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
- CenterWell (Corpus Christi, TX)
- …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
- HCA Healthcare (Dallas, TX)
- …**_* This is a Full Time Day Shift position *_** The Pharmacy Clinical/ Operations Specialist BMT is responsible for participating and leading pharmacy clinical or ... participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements… more
- Catholic Health Initiatives (Lake Jackson, TX)
- …accordance with established policies, procedures and standards. In the absence of the Manager , the supervisor has oversight of clinic operations . 1. Coordinates ... maintains licensure certification requirements for assigned staff. 13. Supervises day-to-day clinic operations in the absence of the practice manager . 14.… more
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