- Molina Healthcare (Austin, TX)
- …State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health , for members with high need… 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 ... Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- CenterWell (Arlington, TX)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health ...health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… 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 ... loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic… 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 ... loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic… more
- HCA Healthcare (Houston, 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 ... Texas Orthopedic Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Webster, TX)
- …Services with experience in health care delivery systems with focus on Utilization Management & Case Management . experience Required Years of Experience ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...POSITION SUMMARY: Under the direct supervision of the Case Management Director, collaborates with the Case Managers, Social Workers,… more
- Molina Healthcare (Dallas, TX)
- …comply with CMS guidelines. These staff may also be involved in providing utilization management /prior authorization services as needed. * Supervises the unit's ... eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is present… 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. ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.… more
- HCA Healthcare (Houston, 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 ... through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization ...case management scope of services including + Utilization Management supporting medical necessity and denial… more