- Molina Healthcare (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
- HCA Healthcare (Dallas, TX)
- …staff committees as necessary. + Assists with staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician ... participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements… more
- CenterWell (Arlington, TX)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- Olympus Corporation of the Americas (Houston, TX)
- …self-study programs. + Obtain instruction and understanding of customer repair cost utilization analyses reports and learn how to review service contract ... customer rapport with key decision makers (ie Bio-med, Nurse Manager , Materials Manager , Physicians, etc.) and gain...utilization and reduce repair costs through an asset management focused approach enhancing the performance and value of… more
- TruePoint Communications (TX)
- …recommendations to upsell and increase our existing clients' budgets + Provide crisis management help as needed + Review all media outreach and influencer ... Manage staffing to maintain optimal coverage, skill sets, and utilization across accounts + Take ownership of account team...in strategy, media relations (consumer and B2B), and crisis management + Strong editor and writer with the ability… more
- Hatch (Houston, TX)
- …applicable local legislation. #HatchUS Nearest Major Market:Houston Job Segment: M&A, Manager , Sustainability, Project Manager , Engineer, Management , Energy, ... + Support KPI targets for the Business Unit, including connectivity, utilization , multiplier, margin, volume + Oversee engagements for commercial, financial, and… more
- NexTec Group (TX)
- …(Key Outcomes): + Complete assigned tasks independently and may collaborate with project manager to assign tasks to others according to team members' skill sets and ... within alignment of the Statement of Work, Business Process Review (BPR) documentation, and NexTec methodology. + Maintain at...and NexTec methodology. + Maintain at least 75 percent utilization on an average annual basis. + Maintain Acumatica… more
- Children's Home Healthcare (Richardson, TX)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... is now hiring for a Hybrid RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- HCA Healthcare (Fort Worth, TX)
- …to promote rational drug therapy and make improvements identified by drug utilization evaluations + Provide accurate and timely medication information to healthcare ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more