- Fresenius Medical Center (Olmito, TX)
- …state regulations, and accrediting agency standards where applicable. . Participate in review business and finances of the site, including financial reports, market ... the security and integrity of facility . Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more
- Oracle (Austin, TX)
- …architectures. Promote process optimization and continuous improvement in network utilization . **Quality Assurance and Standardization:** Oversee a team performing ... documentation, review , and maintenance of design standards, site documentation, requests for RFI/RFP/RFQ, and quality benchmarks. Supervise adherence to global data… more
- Quality Technology Services, LLC (Irving, TX)
- …integrity of Bill of Materials (BOM) and manage inventory accuracy. + Thoroughly review , familiarize, and understand existing BOM structure as well as the physical ... + Initiate move orders to optimize inventory positioning and ensure efficient utilization of resources. + Collaborate with cross-functional teams to drive product… more
- Molina Healthcare (Fort Worth, TX)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- AdventHealth (Mansfield, TX)
- …performance with oversight to assure capital and fiscal accountability. + Partners with Utilization Management for the Utilization Review Committee as well ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...involving physicians and multiple hospital departments, to assure appropriate utilization of hospital resources, appropriate level of care for… more
- Elevance Health (Grand Prairie, TX)
- …clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical ... state or territory of the United States when conducting utilization review or an appeals consideration and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Guardian Life (Plano, TX)
- …to the entire dental product and to assume responsibility for the functions of utilization management and utilization review , as requested by the Dental ... as needed (eg Specialty Referral Guidelines) with guidance from the Quality and Utilization Management Manager . + Demonstrate expertise in QMP processes and… more
- Molina Healthcare (Austin, TX)
- …oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- KBR (Houston, TX)
- …the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing credentialing body and local ... POTFF Staff, and as directed by local HP program manager and/or coordinator. + Document work performed, utilization... manager and/or coordinator. + Document work performed, utilization , encounters, referrals, and all other information in… more
- Elevance Health (Houston, TX)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and… more
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