- AbbVie (Dallas, TX)
- …benefits/risks consistent with approved label, developing new business, improving resource utilization , and growing sales and market share by achieving sales plan ... leadership and other appropriate AbbVie or Co-Promote partners, facilitate site physician /treatment team training on approved and safe use of AbbVie's products.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …program for clinical application users, ensuring effective and timely adoption and utilization . + Ensure timely and effective resolution of user issues through the ... Experience and/or training in Lean Processmanagement. + Experience with clinical and physician revenue cycle support. + Experience with Epic systems. + Experience… more
- Evolent (Austin, TX)
- …Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- United Therapeutics (TX)
- …during the entire access process which may include formulary coverage/ utilization management criteria, insurance forms & procedures, benefits investigation, prior ... authorization, appeal, and/or claims resolution + Educate physician office staff on the use of patient support services using UT approved educational materials,… more
- Elevance Health (Grand Prairie, TX)
- …management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + ... with providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS… more
- Medtronic (Abilene, TX)
- …Including consultation at strategic management and analysis of sales trends, + Utilization of appropriate Neuro business partners to present marketing and business ... referral accounts - Neurology, Physiatrist, Oncology, Internal Medicine, or Primary Care Physician /GP + Solid knowledge of the Reimbursement climate + Minimum of 1… more
- HCA Healthcare (Austin, TX)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both inpatient and ... with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition. + You will partner with Social… more
- Catholic Health Initiatives (Bryan, TX)
- …accounts with/without supervision ie conference calls with employer, payor and physician office staff Initiate pre‐cert for in‐house patients when required, ... obtaining pre‐certification reference number, approved length of stay, and utilization review company contact person and telephone number **Job Requirements**… more
- Houston Methodist (Houston, TX)
- …programs to clients. + Ensures proper scheduling of patients to maximize utilization of time and equipment. **SERVICE ESSENTIAL FUNCTIONS** + Partners with Senior ... a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities.… more
- UTMB Health (Galveston, TX)
- …permit to practice professional nursing in Texas. **Job Summary:** To support the physician and interdisciplinary team in the provision of patient care, with the ... accurate information to payers. The role integrates and coordinates utilization management, care coordination and discharge planning functions. **Equal Employment… more