- Houston Methodist (The Woodlands, TX)
- …procedures related to quality and patient safety. + Serves as liaison with medical staff to assure appropriate utilization of hospital services/resources and as ... safety. The CQO position collaborates with the System CQO and other system physician leadership in quality and patient safety to support the development of the… more
- Evolent (Austin, TX)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates ... the culture. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be...Rehab you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Austin, TX)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates ... FMD, you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. What You Will… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist...and data in a comprehensive manner. + Works with physician leadership and the interprofessional health care team for… more
- Highmark Health (Austin, TX)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician… more
- Houston Methodist (Houston, TX)
- …Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain ... At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible...assigned patient population, under the direct supervision of a Physician , APP and/or Registered Nurse. This position oversees appropriate… more
- Fresenius Medical Center (Olmito, TX)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... thresholds in collaboration with facility management. + Maintains integrity of medical records and other organization administrative and operational records. +… more
- Houston Methodist (Houston, TX)
- …The Sr. MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also ... Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain… more
- Houston Methodist (Houston, TX)
- …The MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also ... Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more