• Clinical Case Manager Behavioral Health - Field…

    CVS Health (Arlington, TX)
    …and coordination of psycho social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Assessment of ... participate with their provider in healthcare decision-making. + Analyzes all utilization , self-report and clinical data available to consolidate information and… more
    CVS Health (08/01/25)
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  • Case Manager - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    …benefits for patients and reimbursement for the hospital. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource ... utilization , and continued stay. + Participates in denial mitigation...and federal programs + Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
    Houston Methodist (08/01/25)
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  • Director of Rehab

    Genesis Healthcare (Dallas, TX)
    …Operations Area Director). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, ... delivery of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical programs, and staff development… more
    Genesis Healthcare (07/31/25)
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  • Care Coordinator - Weight Management Insurance…

    Houston Methodist (Houston, TX)
    …data management support to the department staff to facilitate efficient utilization of resources including referrals management, communication and collaboration with ... to resolve patient concerns. + Assists and coordinates various functionality and utilization of patient and client database including data entry; assuring database… more
    Houston Methodist (07/29/25)
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  • Medical Director - NorthEast Region

    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
    Humana (07/25/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …required clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist with ... Worker's Compensation and Medicare guidelines pertaining toProspective and Retrospective Utilization Review. Some experience in medical deviceor DME Billing a… more
    Abbott (07/18/25)
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  • VP, Clinical Operations

    Molina Healthcare (Austin, TX)
    …key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages ... with contracting/ network to standardize contracts for quality and utilization . **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in Healthcare,… more
    Molina Healthcare (07/17/25)
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  • Division Director of Clinical Informatics

    HCA Healthcare (Dallas, TX)
    …related to the electronic health record (EHR) including: 1. standardization 2. utilization 3. integration 4. optimization The DCI is responsible for development, ... **Primary Responsibilities:** + Implementation and support of facility-wide standardization, utilization , integration, and optimization activities related to the EHR… more
    HCA Healthcare (07/14/25)
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  • Scheduler Lead

    HCA Healthcare (Houston, TX)
    …tasks. + Applies knowledge of rehab scheduling procedures to ensure maximum utilization of available staff and equipment. + Schedules and reschedules appointments ... with minimal error. Focusing on "team" utilization as much as possible. + Constructs patient charts accurately with all appropriate contents. + Applied knowledge of… more
    HCA Healthcare (07/12/25)
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  • Critical Care Business Manager

    Mallinckrodt Pharmaceuticals (San Antonio, TX)
    …is responsible for becoming certified to teach the set up and the utilization of the drug delivery device. Through these responsibilities, the representatives will ... of users, including respiratory therapists, and other HCPs to ensure proper utilization of delivery device Minimum Requirements Education / Experience / Skills: +… more
    Mallinckrodt Pharmaceuticals (07/12/25)
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