- Houston Methodist Hospital (Houston, TX)
- …drug therapy reviews and monitoring, patient counseling, transitions of care management including medication acquisition process support, and management of ... error reporting, clinical interventions, medication center reviews, and inventory management documentation and reporting. FINANCE ESSENTIAL FUNCTIONS Contributes to… more
- Houston Methodist Hospital (Houston, TX)
- …ESSENTIAL FUNCTIONS Participates in developing medication therapy/disease state management protocols and/or dosing guidelines within specialty area. Provides ... counseling, transitions of care including medication acquisition process support, and management of pharmacist based dosing protocols. Leads internal HM quality … more
- 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
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