- Centene Corporation (Austin, TX)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use… more
- Catholic Health Initiatives (College Station, TX)
- …2. Clinical Management a. Serves as a clinical resource for utilization management , compliance for the rules and regulations for government, non-government ... in order to be considered for the Manager, Care Management postion.** + **Must be a Registered Nurse (RN)**...a minimum of Five (5) years experience in Case Management or Care Coordination.** Responsible for the daily oversight… more
- HCA Healthcare (Live Oak, TX)
- …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- Evolent (Austin, TX)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Evolent (Austin, TX)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Austin, TX)
- …specialty match reviewer for Spine Surgery cases. 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
- 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
- CVS Health (Austin, TX)
- …on outreach priorities based on service territory and capacity constraints + System Utilization & Workflow Management + Operate and maintain Salesforce Field ... day. We are seeking a proactive and highly organized Manager of Production Management to join the Signify Health team to oversee field service dispatch operations… more
- CVS Health (Austin, TX)
- …involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk ... clinical/medical programs * Provide psychiatric leadership to an interdisciplinary utilization management team, including medical/clinical oversight, consultation… more