- CVS Health (Richardson, TX)
- …multi-vendor z/OS software products, ensuring optimal performance and reliability. + **Advanced Utilization ** : Leverage a wide array of z/OS products and utilities ... and third-party software integration, ensuring optimal partnerships and resource utilization . **EDUCATION** Bachelor's degree or, equivalent experience (HS diploma +… more
- CVS Health (Austin, TX)
- …meal delivery, assists with securing DME, and helps to ensure timely physician follow-up. - Understands Payer/Plan benefits, policies, procedures, and can articulate ... compliance driven timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and… more
- Houston Methodist (The Woodlands, TX)
- …services provided as applicable. + Uses resources efficiently to maximize utilization of time and equipment. Self-motivated to independently manage time effectively, ... Demonstrates professional and technical competence in the selection, evaluation, utilization of treatment plans **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** +… more
- HCA Healthcare (Austin, TX)
- …Administers respiratory care to patients as ordered by the attending physician . Conducts diagnostic procedures to evaluate the need for, and response ... service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the maintenance of… 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
- CVS Health (Austin, TX)
- …review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as ... UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred… more
- ChenMed (Houston, TX)
- …best practices and addressing patient feedback to improve satisfaction. + **Slot Utilization :** Optimizes the utilization of available appointment slots to ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- Houston Methodist (The Woodlands, TX)
- …services provided, as applicable. + Uses resources efficiently to maximize utilization of time and equipment. Self-motivated to independently manage time ... Demonstrates professional and technical competence in the selection, evaluation, utilization of treatment plans for increasingly complex patient populations… more
- Elevance Health (Cleveland, 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
- Houston Methodist (The Woodlands, TX)
- …in accordance with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees shift by shift ... resource utilization through the allocation of staff, supplies and contributions...wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands… more