- Evolent (Austin, TX)
- …in healthcare leadership roles, with expertise in musculoskeletal and radiology, utilization management , or value-based care programs. + **Strategic Acumen:** ... Value** will lead Evolent's Musculoskeletal (MSK) and Radiology Benefit Management (RBM) programs strategy and execution, driving clinical innovation, operational… more
- UTMB Health (Galveston, TX)
- …Develops and implements quality assurance/improvement programs at the facilities. + Implements utilization management programs at the facilities. + Assumes 24 ... CMC - Galveston County Jail **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2505552 The mission of Correctional Managed Care… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …will be responsible for establishing imaging protocols; reviewing imaging requests; utilization management ; ensuring appropriate preps and medication are ... and upkeep of credentials required for privileging and re-privileging. Staff Management : Participate in the FPPE/OPPE process. Adhere to employee health… more
- Texas Health Resources (Dallas, TX)
- …available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective ... Preferred * Three years' clinical experience required. * One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW… more
- Highmark Health (Austin, TX)
- …Provide analytical/strategic-thinking and leadership support that enables the medical policy and utilization management teams to: 1) isolate business issues; 2) ... to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a… more
- Texas Health Resources (Dallas, TX)
- …and Reporting: Analyze data on patient outcomes LOS, readmission rates and utilization management . Present data through data visualizations and reports to ... email blasts, workshops, animations, videos etc 15% Project Life Cycle Management : Planning, executing, monitoring, and closing project within the Hospital Medicine… more
- Baylor Scott & White Health (Temple, TX)
- …FACTORS** Strong leadership, decision making and delegation skills. Knowledge of care management , resource and utilization management . Skilled in care ... management and patient assessments. Excellent verbal and written communication skills required. Must be able to interact comfortably with physicians, nurses, clinical staff, patients, families and community agency representatives. Ability to monitor,… more
- Bausch + Lomb (Austin, TX)
- …Subject matter expert on Bausch + Lombs patient support programs, payer utilization management , access issue resolution, financial assistance and Company ... Medicare and Medicaid structure, systems, and reimbursement process. + Project management skills. + Ability to work independently, manage travel schedules, schedule… more
- San Antonio Behavioral Health (San Antonio, TX)
- …work from an accredited college or university. + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in ... deliverance of quality treatment to patients and their families + Provide quality case management services to all patients and their families + Serve as a member of… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …will be responsible for establishing imaging protocols; reviewing imaging requests; utilization management ; ensuring appropriate preps and medication are ... employee health requirements. Timely participates in peer review process. Clinical Management : Includes indirect patient care. Adheres to CPRS documentation rules.… more