- Elevance Health (Grand Prairie, TX)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... medical appropriate information in order to make medical necessity determinations for services requested. + Makes medical necessity determinations for… more
- CVS Health (Austin, TX)
- …to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination ... address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads… more
- CVS Health (Austin, TX)
- …clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams In addition, you will ... across the continuum of care. In this role you'll support the Medical Management staff ensuring timely and consistent responses to members and providers. You… more
- UTMB Health (Galveston, TX)
- …in the assigned areas of services by closely communicating with staff , Medical Directors, and Health System leadership, implementing the visions and ... responsibility. + Develops and facilitates consensus among clinical and medical staff for strategic and annual operating...being planned or implemented. + Monitors the performance of services and departments against plan goals. ** Service … more
- UTMB Health (Galveston, TX)
- …as required and assists Medical Directors, physicians, and other professional medical staff with complex technical problems. + Gathers data and leads ... within areas of responsibility. + Develops and facilitates consensus among clinical and medical staff for strategic and annual operating plans to achieve UTMB's… more
- Houston Methodist (Nassau Bay, TX)
- …goals. Ensures creative and futuristic planning for health care delivery. Collaborates with medical staff , executives, hospital leaders, and hospital staff ... + Serves as key advisor on all administrative matters relative to Imaging Services and its activities. ** SERVICE ESSENTIAL FUNCTIONS** + Oversees department… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …nominates incentive awards in all matters concerning Geriatrics and Extended Care Service staff members. Responsible for successful external reviews, including ... Facility and any outside teaching organizations. Participates in service and/or medical center committees as assigned....verified practice in the United States), which the local Medical Staff Executive Committee deems to have… more
- HCA Healthcare (Dallas, TX)
- …and clarification to practitioners. Suggests appropriate, cost-effective therapeutic alternatives to medical staff as needed. + Sustains the hospital formulary, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...work physically at patient care areas to interact with medical staff , nurses and other members of… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …trainees as needed or requested by the PM&R Service Chief. The Staff Physiatrist required to maintain Continuing Medical Education (CME), State Medical ... No Physician Employment Contract and no significant restriction on moonlighting The PM&Rs Service staff physiatrist reports to the Chief, Physical Medicine &… more
- AdventHealth (Killeen, TX)
- …: Associates Degree 5 years of experience in Hospital Credentialing or Medical Staff Services Experience with Credentialing software **Preferred ... you'll contribute:** Manages the reappointment process of all members of the medical staff , including updates to credentialing database and privileges; Manages… more