- Humana (Austin, TX)
- …a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ ... vulnerable members. The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Participates in quality improvement activities as stewards for resource utilization as it pertains to medical necessity and level of ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed...(RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504557 The ... Texas Juvenile Justice Department (TJJD). _J_ **_OB SUMMARY_** **:** Supports the physician and interdisciplinary team in the provision of patient care (inpatient,… more
- Ascension Health (Georgetown, TX)
- …Insurance Utilization Management coordination experience + 2+ years of Medical Referrals and Preauthorization experience in a Healthcare setting + 2+ years ... salary range at the time of the offer._ **Responsibilities** As a Utilization Management Coordinator supporting our Ascension Insurance Utilization Management… more
- HCA Healthcare (Live Oak, TX)
- …will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... program development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development,… more
- CommonSpirit Health (Houston, TX)
- …position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... The PA further acts as a resource for the medical staff regarding federal and state utilization ...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- Texas Health Resources (Allen, TX)
- …for both physician and patient populations, market share patterns, patient utilization data, and physician practice trends. + Provide market assessment/field ... **Growth Specialist - Physician Relations** _Bring your passion to Texas Health...is responsible for driving strategic growth and enhancing the utilization of Texas Health services within designated products, facilities,… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …care and activities sufficient to maintain proficiency in state-of-the-art rehabilitation/ medical care. Responsibilities Staff Physician (SCI/D) is responsible ... Position requires participating in on-call physician responsibilities. Supervision of physician residents, medical students and/or a Physician Assistants… more
- Veterans Affairs, Veterans Health Administration (Kerrville, TX)
- …Clinic and Palliative/Hospice Care Service. Responsibilities The Geriatric & Extended Care Physician in collaboration with the Medical Directors and Program ... medical care advances and practice standards. - Arranging physician coverage and communicating the plan of coverage to...in the development of the new focus on the Medical Home and Patient Centric Care, Utilization ,… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …will be referred at regular intervals or as additional vacancies occur. The physician will serve as a clinical diagnostic radiologist and mammographer. The incumbent ... will have responsibilities in other areas such as program administration. The physician must demonstrate the knowledge and skills necessary to provide multimodality… more