- Elevance Health (Rockwall, TX)
- …illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member ... the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through… more
- Molina Healthcare (Austin, TX)
- …ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with ... and data management. * Advanced understanding health care operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.)… more
- ZOLL Medical Corporation (Houston, TX)
- …(Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- HCA Healthcare (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual(R) or other clinical… more
- IQVIA (Houston, TX)
- …our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.** **We are excited to announce that we are in ... **is primarily responsible for achieving sales forecast and gaining adoption and utilization of the product portfolio. This is accomplished by establishing mutually… more
- Humana (Austin, TX)
- …Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
- HCA Healthcare (Kingwood, TX)
- …and receive healthcare, attracting physicians, caregivers, and patients. Ensures physician alignment, engagement, and ease of access/practice. . Leverages various ... and enhance clinical effectiveness. Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and… more
- IQVIA (Dallas, TX)
- …CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that in partnership with ... is primarily responsible for achieving sales forecast and gaining adoption and utilization of the product portfolio. This is accomplished by establishing mutually… more
- Houston Methodist (Houston, TX)
- …with staff and other departments, responding to employee, patient and physician concerns, taking appropriate action to address needs. + Effectively implements ... ESSENTIAL FUNCTIONS** + Assists department management in product evaluations and utilization of existing products. Enters charges for services provided, and performs… more
- HCA Healthcare (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual(R) or other clinical… more