- Humana (Austin, TX)
- …be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our ... vulnerable members. The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC...measures to achieve target. + Presents LOS variances for review to Director and Inpatient Medical Director. ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… 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 ...the message to all constituents. **Key Responsibilities** + Conducts medical record review in appropriate cases for… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT ... will be referred at regular intervals or as additional vacancies occur. The physician will serve as a clinical diagnostic radiologist and mammographer. The incumbent… 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 (San Antonio, TX)
- …put in practice medical care advances and practice standards. - Arranging physician coverage and communicating the plan of coverage to the team members when ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities The Geriatric and...in the development of the new focus on the Medical Home and Patient Centric Care, Utilization ,… 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)
- …measures, and participation in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality, and Patient Safety ... VA South Texas Health Care System is seeking a Physician - Infectious Disease to join their team in...DUTIES Participates in staff meetings, hospital committees, and peer review process. Demonstrate effective communication both down to staff… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …measures, and participation in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality, and Patient Safety ... tours (nights, weekends, and holidays, as needed by the organization. Medical /Clinical Knowledge: Practitioners are expected to demonstrate knowledge of established… more