- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf The Senior Social Worker: provides clinical ... working knowledge and skill in the use of business productivity software, data management , and computer systems/programs, especially those programs in use by VHA. is… more
- Houston Methodist (Sugar Land, TX)
- …/regulatory/ government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management responsibilities of selection, scheduling, supervision, retention, and ... At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or coordinating complex delivery of care within a large,… more
- Molina Healthcare (San Antonio, TX)
- …years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and… more
- Houston Methodist (Houston, TX)
- …and trends in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information and focuses the ... for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** +… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …plans. Develops and implements evidence-based treatment interventions. Provides case management , connecting veterans to resources and support services. Ensures ... and risk assessments. Develops treatment plans with oversight from senior clinicians. Collaborates with interdisciplinary teams on care coordination. Provides… more
- Evolent (Austin, TX)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
- Houston Methodist (Houston, TX)
- …and services to maintain successful operations, clinical practice, formulary management , quality assurance and financial stability. The Director Pharmacy Services ... secure compliance with ethical and legal business practices and accreditation /regulatory/government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and… more
- HCA Healthcare (Cypress, TX)
- …+ Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management , and serves as a liaison between committees and ... review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed… more
- HCA Healthcare (Live Oak, TX)
- …will assemble regional physician advisory panels to provide ongoing feedback to HCA senior management , and serves as a liaison between committees and ... review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed… more
- Evolent (Austin, TX)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
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