- 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
- Evolent (Austin, TX)
- …mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization … more
- Highmark Health (Austin, TX)
- …by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the ... determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management ... information to determine the patient's aftercare needs. + Coordinates with physician individualized discharge planning for patients. + Conducts reviews and other… more
- Houston Methodist (Houston, TX)
- …the liaison to other medical staff committees that interface with the utilization review /management committee. Assist with the evaluation of the hospital's ... resources. This position is a key member and leader of the hospital's utilization review /management committee, which is charged with regulatory goals of ensuring… more
- Ascension Health (Georgetown, TX)
- …of utilization management and denial mitigation, including but not limited to: + Review medical records of identified patients to assist with the level of ... hospital setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are… more
- HCA Healthcare (Austin, TX)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... 156,000 hours impacting our communities. As a Director of Physician Services II with St. David's Healthcare, you can...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …vacancies occur. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting The … more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …Primary Care and Geriatric Primary Care. Responsibilities The Home Based Primary Care Physician in collaboration with the Medical Directors and Program Managers ... development and implementations of performance improvement put in practice medical care advances and practice standards. Arranging physician...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)
- …necessary trainee supervision. Will be responsible for teaching house staff and medical students assigned to Imaging Service. Research: Physician researchers ... when assigned. Serve as Peer Reviewer for the Protected Peer Review Committee, when assigned. Demonstrate effective communication both down to staff… more