- UTMB Health (Galveston, TX)
- …system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or ... medications + Participates in the operations of medication therapy management + Initiates medication reconciliation + Assists with screening, documentation,… more
- UTMB Health (Huntsville, TX)
- …system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or ... medications + Participates in the operations of medication therapy management + Initiates medication reconciliation + Assists with screening, documentation,… more
- Houston Methodist (Houston, TX)
- …in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of ... leadership experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) **LICENSES AND CERTIFICATIONS… more
- UTMB Health (Webster, TX)
- …system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or ... medications + Participates in the operations of medication therapy management + Initiates medication reconciliation + Assists with screening, documentation,… more
- United Therapeutics (TX)
- …awareness during the entire access process which may include formulary coverage/ utilization management criteria, insurance forms & procedures, benefits ... investigation, prior authorization, appeal, and/or claims resolution + Educate physician office staff on the use of patient support services using UT approved educational materials, including web-based provider portals and other tools/resources as available… more
- Celestica (Richardson, TX)
- …logistics rates to enhance efficiency, minimize costs, and maximize resource utilization . Implement cost management measures, evaluate processes, and establish ... Texas City: Richardson **General Overview** **Functional Area:** SCM - Supply Chain Management **Career Stream:** SCM - Supply Chain Management **Role:**… more
- Elevance Health (Grand Prairie, TX)
- …Capabilities, and Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider ... finance, healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred. + Proven ability to design… more
- UTMB Health (Waco, TX)
- …information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and ... organizes work so that required assignments are completed within specified timeframe. + Promotes positive interpersonal relationships among co-workers and Security. + Participates in in-service orientation and continuing education classes. Obtains 40 hours of… more
- Highmark Health (Austin, TX)
- …expertise.This may include updating/revising existing medical policies. + Partner with Utilization Management and other operational teams to identify ... opportunities within medical policy. + Discover and cultivate innovative opportunities that drive significant improvements in healthcare quality and efficiency. + Other duties as assigned or requested. **EXPERIENCE** **Required** + 5 years of Active medical… more
- Mindoula Health (TX)
- …for outcome based care. + Participates in interdisciplinary team meetings and utilization management rounds and provides information to assist with safe ... transitions of care. + Promotes responsible and ethical stewardship of company resources. + Maintains excellent punctuality and attendance during work hours. Qualifications: + LCSW, LMFT, LMHC, in Washington State. + Preferred experience with substance abuse… more
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