- 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 ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- HCA Healthcare (Live Oak, TX)
- …+ You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care...leadership in the facility + You will assemble regional physician advisory panels to provide ongoing feedback to HCA… more
- Texas Health Resources (Allen, TX)
- …for both physician and patient populations, market share patterns, patient utilization data, and physician practice trends. + Provide market assessment/field ... **Growth Specialist - Physician Relations** _Bring your passion to Texas Health...is responsible for driving strategic growth and enhancing the utilization of Texas Health services within designated products, facilities,… more
- Elevance Health (Grand Prairie, TX)
- …to formulary and prescription benefits. + Generates reports relating to rebates, physician utilization , Beers Criteria, Reliance members, and other ad hoc ... reports. + Mentor and train lower-level pharmacy technicians as needed; as well as lead pharmacy technicians working prescription queue-based assignments to ensure quality, meeting turnaround times, and delivering on patient, prescriber, and client experience… more
- HCA Healthcare (Houston, TX)
- …and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor. + Communicates with third party payers regarding ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved...related to provision of services, patterns of care, and utilization of resources. + Assists in Utilization … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of the URN, this position is able to cover a multitude of utilization review functions through point of entry, observation progression of care management, concurrent… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… 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 ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician... utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and… more
- Houston Methodist (The Woodlands, TX)
- …compliance rules and regulations; collaboration and relationships with payers; physician practice patterns; documentation and over- and under- utilization ... At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting,...is a key member and leader of the hospital's utilization review/management committee, which is charged with regulatory goals… more
- HCA Healthcare (Dallas, TX)
- …Do you want to join an organization that invests in you as a Physician Recruiter? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... you have the opportunity to make a difference. We are looking for a dedicated Physician Recruiter like you to be a part of our team. **Job Summary and… more