- Molina Healthcare (Fort Worth, TX)
- …physicians. Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding, for ... position is February.** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy… more
- Select Medical (Denton, TX)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Travelers Insurance Company (Austin, TX)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Elevance Health (Grand Prairie, TX)
- …of the Carelon Services businesses, including behavioral health, medical benefits utilization management , specialty care solutions, and care delivery companies. ... and legal colleagues to harmonize, centralize, and improve existing contract management workflows and policies across the Carelon Services businesses. + Become… more
- MTC (Raymondville, TX)
- …clean; utilize appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... PTO and 11 paid holidays + Employee assistance program Management & Training Corporation (MTC) is proud to operate...with an acceptable driving record required, unless waived by management . _Management & Training Corporation (MTC) is an Equal… more
- MTC (Anson, TX)
- …of all patients' medical records. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... perform other duties as assigned within his/her capabilities as determined by management . **Education and Experience Requirements:** Requires DDS or DMD degree and… more
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- Molina Healthcare (Dallas, TX)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… 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 ... Conducts record review for performance improvement, peer review, patient safety, risk management and other projects. + Facilitates and leads process and performance… more
- MTC (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... of Texas with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more