- 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
- Molina Healthcare (Austin, TX)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At ... program(s) proficiency. **Preferred Qualifications** * Certified Professional in Healthcare Management (CPHM). * Recent hospital experience in an intensive care… more
- Prime Therapeutics (Austin, TX)
- …with a health plan + Prior client-facing experience + Prior experience with utilization management + Strong MS Office skills, experience with databases and ... to function independently and as a team player. + Good organizational and time management skills, with the ability to manage multiple tasks and be self-motivated. +… 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
- Evolent (Austin, TX)
- …various sites of care/service is preferred + Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the ... will partner closely with executives across analytics, finance, product and account management . **What You Will Be Doing:** + Support Business Development & Product… 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
- United Therapeutics (Fort Worth, 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
- UTMB Health (Galveston, TX)
- …and accurate information to payers. The role integrates and coordinates utilization management , care coordination and discharge planning functions. **Equal ... Manager TDCJ **Galveston, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2504032 **Minimum Qualifications:** RN with Bachelor's… more
- CVS Health (Little Elm, TX)
- …experience required. **Preferred Qualifications** - Crisis intervention skills - Managed care/ utilization review experience - Case management and discharge ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- UTMB Health (Galveston, 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
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