- Elevance Health (TX)
- …patients, patients with IDD and patients with special needs is preferred. + Home Health , Utilization Management or Case Management experience strongly ... care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational… more
- Elevance Health (Mesquite, TX)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate… more
- Sharecare (Austin, TX)
- …members to become empowered and active participants in their own healthcare management for their chronic condition. By providing health education and ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- San Antonio Behavioral Health (San Antonio, TX)
- …Duties: . Ensure quality care to patients by developing, implementing, and directing behavioral health treatment programs for inpatient services . Direct and ... The Clinical Services Director oversees inpatient clinical operations, staff management , and regulatory compliance, and the successful day-to-day clinical… more
- Molina Healthcare (TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- HCA Healthcare (Fort Worth, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... organization that invests in you as a Director Case Management ? At Medical City Alliance, you come first. HCA...Alliance offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Kingdom. We are looking for a Manager of Case Management for our Medical City Heart & Spine Hospitals...Hospitals, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (San Antonio, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Texsan, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...management . + Consults with facility-level staff regarding delegated utilization management and disease management … more
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