- CenterWell (Corpus Christi, TX)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to improve… more
- Elevance Health (Grand Prairie, TX)
- …program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an ... the Pharmacy and Therapeutics Committee including therapeutic class reviews, policy review , drug monographs, and formulary recommendations. + Develop strategies to… more
- Highmark Health (Austin, TX)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Elevance Health (Houston, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... for medications with attending physicians or other ordering providers to discuss review determinations. + Will participate in a physician on-call weekend rotation… more
- HCA Healthcare (Austin, TX)
- …of Physician Services II with St. David's Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** St. David's Healthcare, ... as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have strategic… more
- Valero (San Antonio, TX)
- …the data center. * Provide management, monitoring, and optimization of power utilization , HVAC requirements and capacity planning for Valero data center. * Provide ... of electrical devices and energy consumption to maintain efficient and safe utilization of Valero data center facilities. * Coordinate the acquisition, location… more
- Bank of America (Dallas, TX)
- …bidding process, award process, managing external suppliers and appraisal review . Additional responsibilities may include client team training; supervisory ... responsibilities, including management of procurement or review teams; and/or management of external reviewers. **Skills:** + Critical Thinking + Financial… more
- Kinder Morgan (La Porte, TX)
- …report monthly Key Performance Indicators for terminal customers. + Update Monthly Business Review to reflect Dock Utilization , Monthly Throughput and other data ... ESSENTIAL DUTIES AND RESPONSIBILITIES: Primary Purpose: - Under minimal supervision of Terminal Manager or other persons designated by the Manager , performs a… more
- MTC (Anson, TX)
- …rotation. + Refer patients for specialty consultations and treatment through the utilization manager process. + Utilize established corporate, facility and ... clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes,… more
- Baylor Scott & White Health (Dallas, TX)
- …Master's degree preferred. 2. 5+ years of experience in case management, social work, utilization review , or related field. 3. 1+ years of experience in a ... case management, social services, coordination of patient care, patient access, utilization management, and discharge planning. Directs the management and analysis… more
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