- Ascension Health (Austin, TX)
- …hospital setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense required) +… more
- Baylor Scott & White Health (Dallas, TX)
- …outpatients) or type of service. Alerts and collaborates with appropriate Utilization Review, Physician leadership and/or Provider Team personnel concerning ... **JOB SUMMARY** The Utilization Review Registered Nurse (RN) provides a clinical...care. Provides ongoing communication with the health plan, provider utilization and/or care coordination departments regarding medical necessity for… 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 ... colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with St. David's Healthcare, you can be a manager in… more
- HCA Healthcare (Austin, TX)
- …affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment: + Leads clinical performance expectations that support the… more
- CenterWell (Austin, TX)
- …the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts ... their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care… 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
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center **Webster, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2506588 The mission of ... Texas Juvenile Justice Department (TJJD). _J_ **_OB SUMMARY_** **:** Supports the physician and interdisciplinary team in the provision of patient care (inpatient,… 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
- Medical Center Hospital (Odessa, TX)
- + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Utilization Review Program and makes appropriate referrals to designated Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a… more
- Houston Methodist (Houston, 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