- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- Humana (Austin, TX)
- …or discharge planner in an acute care setting + Previous experience in utilization management / utilization review for a health plan or acute ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...us** About OneHome: OneHome coordinates a full range of post - acute care ranging from home health, infusion… more
- CVS Health (Austin, TX)
- …+ Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an acute care setting. + Previous ... with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior...care/treatment. + Identifies members who may benefit from care management programs or other post discharge programs… more
- Humana (Austin, TX)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- UTMB Health (Webster, TX)
- …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
- Houston Methodist (Houston, TX)
- …drug therapy reviews and monitoring, patient counseling, transitions of care management including medication acquisition process support, and management of ... pharmacist-based dosing protocols. + Participates in quality management initiatives such as, but not limited to: medication use evaluations, adverse drug reaction… more
- Houston Methodist (Houston, TX)
- … committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other ... review/ management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the… more
- Houston Methodist (Houston, TX)
- …improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for ... for providing executive leadership and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across… more
- CenterWell (Dallas, TX)
- …opportunities for managing populations and coordinating care to reduce acute and post - acute care utilization . The Manager role is hybrid with travel ... data analytics, and create action plans that will reduce acute and post - acute care utilization . + Solicits/shares feedback with market leaders on… more
- Houston Methodist (Houston, TX)
- …with a customer service focus and application of positive language principles + Understanding of pre- acute and post - acute venues of care and post - ... units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and interprofessional… more
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