- Houston Methodist (The Woodlands, TX)
- …issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource ... utilization , and continued stay. Reviews level of care denials...and federal programs + Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- Molina Healthcare (TX)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT LICENSURE**… more
- Baylor Scott & White Health (Temple, TX)
- …drug/food interactions; drug disease interactions; adverse drug reactions; proper utilization , including over- utilization or under- utilization , and ... use clinical laboratory or clinical monitoring methods to monitor and evaluate drug effectiveness, side effects, toxicity, or adverse effects, and appropriateness to continue use of the drug in its current regimen. Supervises and monitors the non-professional… more
- CVS Health (Austin, TX)
- …the direction of the Lead Clinical Psychologist, this position will focus on utilization , quality, and review of fraud, waste, and abuse for individual Aetna member ... clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols. + Serve as a… more
- Humana (Austin, TX)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- DMS International (Lackland, TX)
- …to ensure effectiveness, including the training materials used for remediation, Instructor utilization and the impact of remediation on attrition and set back rates. ... + Monitors utilization of the Automated Electronic Classroom (AEC) to ensure...optimal use of resources, maintain class schedule and facility utilization by each block of instruction. + Monitors impact… more
- Austin Industries (Irving, TX)
- …**Texas area.** The Equipment Service Manager is responsible for maximizing the utilization of Austin Bridge and Road's equipment across the project spectrum. ... equipment platform and refine and develop and implement new Infrastructure based utilization and management program + Participate in the development of capture plans… more
- TXNM Energy (Texas City, TX)
- …distribution, fuels, system planning, financial and regulatory issues, asset utilization , and environmental controls and regulations. Ability to read, interpret ... transmission, distribution, system planning, financial and regulatory issues, asset utilization , and environmental controls and regulations Ability to read,… more
- Baylor Scott & White Health (Waxahachie, TX)
- …drug/food interactions; drug disease interactions; adverse drug reactions; proper utilization , including over- utilization or under- utilization , and ... use clinical laboratory or clinical monitoring methods to monitor and evaluate drug effectiveness, side effects, toxicity, or adverse effects, and appropriateness to continue use of the drug in its current regimen. + Supervises and monitors the… more
- Citigroup (Irving, TX)
- …organization. Responsibilities: + Identify elements of total cost and measures of utilization in collaboration with engineering team . + Knowledge of Public Cloud ... and billing concepts. + Monitor, analyse, and report on costs and utilization across products, cloud providers, and classification levels ( teams, customers) +… more