- Centene Corporation (San Antonio, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **Care Manager RN - STAR Plus** **LTSS Comprehensive Care Screening Team** **REMOTE ... + Acts as liaison and member advocate between the member/family, physician , and facilities/agencies + Educates on and coordinates community resources. Provides… more
- GE HealthCare (Houston, TX)
- …physicians. You will work cross-functionally with your Molecular Imaging Sales Manager counterparts leading other product categories to drive holistic solutions that ... and pharmacy partners).** Understand and leverage the value of providing referring physician education and office-based resources and how this impacts referrals into… more
- Ascension Health (Austin, TX)
- …including educational opportunities, practice services and patient-based services to improve utilization and satisfaction. + Develop target growth plans and maintain ... preferred. **Additional Preferences** 2-3 years experience in **healthcare sales, physician relations, or business development** with demonstrated success in… more
- Centene Corporation (Austin, TX)
- …+ Acts as liaison and member advocate between the member/family, physician , and facilities/agencies. + Educates on and coordinates community resources. Provides ... Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire… more
- Molina Healthcare (Houston, TX)
- …providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization , and CAHPS to positively influence future trends. * Develops and ... and Medicaid managed healthcare setting, ideally with different provider types (eg, physician , groups and hospitals). To all current Molina employees: If you are… more
- Evolent (Austin, TX)
- …monitoring for improvement. Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Houston Methodist (Houston, TX)
- …units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and interprofessional ... health care team to ensure resource utilization is appropriate to the patient's clinical needs and...and special request concerning each patient. Coordinates with case manager to escalate cases. + Demonstrates teamwork by awareness… more
- CVS Health (Austin, TX)
- …Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. **Education** * Active and current state ... program/operational efficiency involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the… more
- ChenMed (Houston, TX)
- …participates in clinical rounds and conferences. At ChenMed, we remain committed to: 1. Physician Work/life balance 2. No nights/ no weekends / no call 3. Population ... maximize and promote clinical value, improve clinical quality, efficiency, physician /patient satisfaction and advance strategic business objectives. This position… more
- Fresenius Medical Center (El Paso, TX)
- …care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the ... physician in optimum patient outcomes following facility policies and...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more