• Appeals Registered Nurse

    Evolent (Austin, TX)
    …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
    Evolent (08/08/25)
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  • Director of Rehab

    Genesis Healthcare (Dallas, TX)
    …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 6. Assists Clinical Operations Area Director in the hiring… more
    Genesis Healthcare (07/31/25)
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  • Regional Architecture Discipline Lead

    AECOM (Houston, TX)
    …in order to be able to identify support personnel and facilitate the quality review process for any regional project. In the event quality issues are identified, ... major pursuits by actively participating in the development and review of Project Plans and incorporation of other project...set up tools. + Support operations by balancing architecture utilization and staffing across the region as well as… more
    AECOM (06/10/25)
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  • Case Manager Advanced - Transition in Care

    Houston Methodist (Houston, TX)
    …leadership team. + Functions as resource to department staff in communicating medical information required by external review entities, managed care contractors, ... for special project activities related but not limited to, throughput, readmissions, and utilization management to align with the visions and goals of the department… more
    Houston Methodist (08/27/25)
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  • Scheduler Lead

    HCA Healthcare (Houston, TX)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (07/12/25)
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  • Analyst, Healthcare Analytics - SQL/Power…

    Molina Healthcare (Dallas, TX)
    …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing… more
    Molina Healthcare (08/21/25)
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  • RN Clinical Manager

    Erickson Living (Houston, TX)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... equity and belonging, which builds on our mission, vision and values + Medical , dental and vision packages, including an annual reimbursement for qualified wellness… more
    Erickson Living (08/11/25)
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  • Advanced Clinical Pharmacist- Emergency Medicine

    HCA Healthcare (Fort Worth, TX)
    **Description** ** Medical City Fort Worth** Advanced Clinical Pharmacist- Emergency Medicine Full time Days 08:00AM- 19:30PM 7 on /7 off schedule $15,000 Sign on ... We have an exciting opportunity for you to join Medical City Fort Worth which is part of the...rational drug therapy and make improvements identified by drug utilization evaluations + Provide accurate and timely medication information… more
    HCA Healthcare (07/14/25)
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  • Mktg Spc Events/Data Analytics

    Fujifilm (Austin, TX)
    …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... received by the Fujifilm Endoscopy Division from industry societies, Academic Medical Centers, and other health-related organizations in the West and South-Central… more
    Fujifilm (08/11/25)
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  • Advanced Clinical Pharmacist-Med Safety - Quality

    HCA Healthcare (San Antonio, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (06/21/25)
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