- HCA Healthcare (Houston, TX)
- …other third party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the ... admissions and assigning extended stays in accordance with criteria approved by the Utilization Management Committee and Medical Staff with referral of all cases… more
- CenterWell (Dallas, TX)
- …Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high ... A passionate advocate for improving clinician and patient experience through population health management . **Required Qualifications** + Associate's Degree + 5… more
- Apex Health Solutions (Houston, TX)
- …stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider relations and other health plan departments ... include telephonic, internet, or face-to-face encounters. Works seamlessly with other health management disciplines to assist members in problem-solving… more
- Centene Corporation (Austin, TX)
- …on workplace flexibility. POSITION IS REMOTE IDEAL CANDIDATE WILL HAVE BEHAVIORAL HEALTH PROGRAM DEVELOPMENT EXPERIENCE SUPPORTING COMMUNITY MEMBERS WITH ... with senior leadership team to provide insights to improve coordination of care, member utilization , and improve overall health and quality outcomes + May work… 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. ... degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of… more
- Molina Healthcare (Houston, 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. ... field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management … more
- Highmark Health (Austin, TX)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... and minimize risk to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact employees in the… more
- HCA Healthcare (Corpus Christi, 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 ... Center_ provides emergency medical services, laboratory, imaging services and outpatient behavioral health services. _Bayview Behavioral Hospital_ provides… more
- Texas Health Resources (Plano, TX)
- …cardiology, neurosurgery and spine care, orthopedics, women's services, adult and adolescent behavioral health , and critical care. Our hospital also provides ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
- Texas Health Resources (Arlington, TX)
- …We offer advanced care in medical and surgical services, cancer treatment, women's health , behavioral health , neurosciences, emergency and sports medicine. ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
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