- Nestle (San Antonio, TX)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... are effectively implemented while also ensuring an effective injury case management process is fully implemented, well understood, and functioning as desired.… more
- Evolent (Austin, TX)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
- Burns & McDonnell (Houston, TX)
- …to meet program management , global practice, and regional objectives. + Regularly review team utilization of staff to make sure employees have a clear ... proud to be the market leader in providing program management services to the electric & gas utility industry....Hiring & Onboarding + Work with the SCR GP Manager and HR Recruiting team to proactively recruit the… more
- Sharecare (Austin, TX)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- Cherry Bekaert (Austin, TX)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... that develop within the area. You will continuously communicate with management regarding future needs versus availability, potential staffing issues, and other… more
- CVS Health (Austin, TX)
- …license **Preferred Qualifications** * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. ... involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk… 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 ... Current unrestricted RN license in applicable state(s) required. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health… 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...the specific programs supported by the plan such as Utilization Review , Medical Claims Review ,… 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 ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in… more
- Fujifilm (Austin, TX)
- …request volume, and the like. This role works collaboratively with their manager , Subject Matter Experts (SMEs), Marketing & Communications team members, business ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more