- Molina Healthcare (Austin, TX)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- Health Care Service Corporation (Richardson, TX)
- …the independent practice level) of direct clinical care to the consumer. * Utilization management , discharge planning or managed care experience. *Customer ... programs (housing, family support services). *Provider side insurance experience. *Familiarity with Utilization Management or Case Management activities and… more
- 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
- Elevance Health (Grand Prairie, TX)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... medical director provides clinical expertise in all aspects of utilization review and case management . Provides input...all aspects of utilization review and case management . Provides input on the clinical relevance to account… 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
- AdventHealth (Mansfield, TX)
- …nurse and applying with BSN degree + 3 years of experience in direct Care Management / Utilization Management experience in an acute care setting This facility ... **Manager Care Management Texas Health Mansfield Affiliate of AdventHealth** **All...Mansfield, TX 76063 **The role you'll contribute:** "The Care Management Manager is under the general leadership of the… more
- HCA Healthcare (San Antonio, TX)
- … review/ management . + Consults 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
- Molina Healthcare (Houston, TX)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for… more
- Devereux Advanced Behavioral Health (League City, TX)
- …This person will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment program for individuals ... drive referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process… 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