- CVS Health (Austin, TX)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …in the use of computer software applications for drafting documents, data management , maintaining accurate, timely and thorough clinical documentation, and ... in the use of computer software applications for drafting documents, data management , maintaining accurate, timely and thorough clinical documentation and… more
- Houston Methodist (Baytown, TX)
- …**PEOPLE ESSENTIAL FUNCTIONS** + Demonstrates leadership as a clinical resource, interprofessional consultant, and patient/family advocate. Identifies staff ... communication. + Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting… more
- UTMB Health (Webster, TX)
- …Nurse Clinician IV - CLC **Webster, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2507149 **REQUIRED EDUCATION & EXPERIENCE:** RN with ... bachelor's in nursing, four years of clinical RN experience and approved specialty certification. Must possess and maintain a current RN license or valid temporary… more
- CVS Health (Austin, TX)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... - Using a holistic approach to assess the need for referral to clinical resources for assistance. - Consults with supervisor and others in… more
- Baylor Scott & White Health (Marble Falls, TX)
- …tenure and experienced teammates. We have a very engaged leadership structure with a supervisor as well as a full complement of Charge Nurses capable of immediately ... condition and the competencies of the employee. **ESSENTIAL FUNCTIONS OF THE ROLE** Clinical Judgment: Using clinical reasoning, conducts accurate clinical … more
- Houston Methodist (Houston, TX)
- …scheduling and coverage. Actively participates and supports front desk, billing and clinical teams. Responsible for clinic and referral management of practice ... to maximizing revenue through efficient, effective and compliant procedure. The supervisor position responsibilities include overseeing the daily work activities of… more
- HCA Healthcare (San Antonio, TX)
- …related field; + 1-year management experience as a charge RN, clinical care manager/ supervisor , or manager. **Minimum License, Certificates, or Registrations ... provides leadership and overall responsibility for the functioning of assigned clinical patient care/procedural unit(s). She/he is responsible 24 hours a day,… more
- UTMB Health (Angleton, TX)
- …previous leadership experience. Must fulfill overall qualifications as a General Supervisor under the Clinical Laboratory Improvement Amendment (CLIA). ... Laboratory Services - ADC Laboratory **Angleton, Texas, United States** **Hot** Clinical Laboratory UTMB Health Requisition # 2506622 **JOB SUMMARY** Manager,… more
- Molina Healthcare (Dallas, TX)
- …physicians. Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding, for ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more