• Utilization Review Case Mgr - CMC - Clear…

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (12/12/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for ... At Houston Methodist, the Sr Director Case Management position is responsible...needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision… more
    Houston Methodist (10/16/25)
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  • Medical Director - IP Claims…

    Humana (Austin, TX)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (12/11/25)
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  • Director of Engineering and Asset…

    Royal Vopak (Deer Park, TX)
    Start your career as a Director of Engineering and Asset Management at Vopak and contribute to social themes such as energy security and energy transition. We ... positive impact? Improve the world and start as a Director of Engineering and Asset Management at...Project Controls are applied in accordance with local and national regulations and provide sound project management more
    Royal Vopak (12/08/25)
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  • Field Medical Director , Pain…

    Evolent (Austin, TX)
    …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical… more
    Evolent (11/19/25)
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  • Director Case Management

    HCA Healthcare (Irving, TX)
    …charitable organizations. Apply Today! **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and ... We care like family! Jump-start your career as a Director Case Management today with Medical City...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (12/10/25)
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  • Director Case Management

    HCA Healthcare (Houston, TX)
    …a part of our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and coordinating ... join an organization that invests in you as a Director Case Management ? At HCA Houston Healthcare...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (12/04/25)
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  • Director , Comprehensive Care…

    Baylor Scott & White Health (Dallas, TX)
    …case management , social services, coordination of patient care, patient access, utilization management , and discharge planning. Directs the management ... **JOB SUMMARY** Director , Comprehensive Care Management (CCM) is...degree preferred. 2. 5+ years of experience in case management , social work, utilization review, or related… more
    Baylor Scott & White Health (11/15/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (10/25/25)
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  • Medical Director - Medicaid (remote)

    Humana (Austin, TX)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (12/07/25)
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