- Catholic Health Initiatives (Houston, TX)
- …of patient's case. + Notify consultants, prepare for and participate in physician ‐led and multidisciplinary rounds, and communicate with patients, families and all ... patient's hospital stay and collaborating with the entire team to control LOS, ICU utilization and document variances. + Serve as a clinician in the care of this… 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
- Elevance Health (Grand Prairie, TX)
- …and provider network satisfaction. Typically works with one provider type, eg physician , ancillary, or medical group. Provides advice and analytic support to Medical ... strategies. + Performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic. + Measuring and evaluating the cost… more
- Elevance Health (Grand Prairie, TX)
- …plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in… more
- 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
- 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