• Behavioral Health Medical Director

    Humana (Austin, TX)
    …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...healthcare providers, clinical group practice management + Utilization management experience in a medical more
    Humana (08/09/25)
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  • National Director , Care Integration…

    CenterWell (Austin, TX)
    …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction,… more
    CenterWell (08/15/25)
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  • Director of Case Management & Social…

    Houston Methodist (Houston, TX)
    …and trends in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information and focuses the ... At Houston Methodist, the Director Case Management & Social Services...appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director more
    Houston Methodist (08/02/25)
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  • Director Case Management

    HCA Healthcare (Arlington, TX)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Director Case Management ? At Medical City Arlington, you come first. HCA ... our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (08/09/25)
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  • Field Medical Director , Oncology

    Evolent (Austin, TX)
    …in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...Oncology, you will be a key member of the utilization management team. We can offer you… more
    Evolent (08/19/25)
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  • Field Medical Director

    Evolent (Austin, TX)
    …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you… more
    Evolent (06/11/25)
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  • Medical Director -Medicaid (ABH TX)

    CVS Health (Austin, TX)
    …Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical systems/record experience ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification… more
    CVS Health (08/08/25)
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  • Field Medical Director , Physical…

    Evolent (Austin, TX)
    …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you...Rehab you will be a key member of the utilization management team. We can offer you… more
    Evolent (07/24/25)
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  • Director of Rehab

    Genesis Healthcare (Dallas, TX)
    …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (07/31/25)
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  • Associate Medical Director -Dallas

    CenterWell (Fort Worth, TX)
    …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care (VBC) principles. This… more
    CenterWell (08/12/25)
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