- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Evolent (Austin, TX)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Boehringer Ingelheim (Harlingen, TX)
- …on "continuation of care" model, including discharge protocol, treatment algorithms, disease management , etc. + Analyzes qualitative and quantitative territory ... supporting analysis tools to plan activity, report and monitor resource utilization , and maintain account and customer records. Completes all administrative… more
- Deloitte (Dallas, TX)
- …to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the ... to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents + Monitor diagnoses,… more
- CVS Health (TX)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- UTMB Health (Galveston, TX)
- …nurses, and the nursing aspects for specialty quality standards (eg critical care, disease management , etc.). + Demonstrates transparency with the clinical staff ... and Delivery - Galveston **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2505486 **REQUIRED EDUCATION & EXPERIENCE:** RN with… more
- Baylor Scott & White Health (Temple, TX)
- …terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management ; medications and drugs, common dosages, ... we serve a wide variety of patient diagnoses including pediatric chemotherapy administration ." -Manager of Pediatric Medical Surgical department **About Us** Here at… more
- Texas Health Resources (Fort Worth, TX)
- …and Level III Trauma services. We're also Joint Commission-accredited and hold Disease -Specific Certifications for Acute Heart Attack Ready (AHAR) and Stroke care. ... development through meetings and educational programs. Professional Project and Operations Management : Serve as leader in Magnet journey. Assist and provide… more
- HCA Healthcare (Austin, TX)
- …Management . Clinical experience with adults. + Preferred experience: risk management , workers compensation, healthcare administration , and an understanding of ... for staff performing duties in multiple physical locations. Works with clinical, management , and other support personnel to coordinate both on and off-site physical… more
- MD Anderson Cancer Center (Houston, TX)
- …with Service Line Department Leaders to create budget for the respective Service Line/ Disease site. * Human Resource Management In collaboration with the AD, ... and physical asset planning and maintenance including facility design and inventory management . Ensure optimal utilization of assigned resources. Is responsible… more
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