• Physician Advisor

    CommonSpirit Health (Houston, TX)
    …a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
    CommonSpirit Health (06/28/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    … Committee and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor. + Communicates with third party payers ... third-party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the medical… more
    HCA Healthcare (08/10/25)
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  • Utilization Review Nurse - Case…

    Houston Methodist (The Woodlands, TX)
    …eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and managed ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a...determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan… more
    Houston Methodist (07/12/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …Provides education to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of department scores for ... efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of...state, local, and federal programs + Comprehensive knowledge of utilization management , case management , performance… more
    Houston Methodist (07/29/25)
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  • Lead Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …Healthcare Hospital (HBHH) currently has an opening for Full-time Lead Utilization Management Coordinator, Monday-Friday, 8a-4p. The Lead Utilization ... Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients… more
    Houston Behavioral Healthcare Hospital (08/09/25)
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  • Physician Advisor

    Houston Methodist (The Woodlands, TX)
    … committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other ... review/ management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the… more
    Houston Methodist (07/05/25)
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  • Medical Director, MSK Surgery

    Evolent (Austin, TX)
    …reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business Managers to ... well as health plan members and staff whenever a physician `s input is needed or required. Responsible for clinical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
    Evolent (05/20/25)
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  • Physician , Radiologist/Mammographer…

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …will be responsible for establishing imaging protocols; reviewing imaging requests; utilization management ; ensuring appropriate preps and medication are ... will be referred at regular intervals or as additional vacancies occur. The physician will serve as a clinical diagnostic radiologist and mammographer. The incumbent… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Physician (Geriatrics & Extended Care)

    Veterans Affairs, Veterans Health Administration (Kerrville, TX)
    Summary The South Texas Veterans Health Care System is currently seeking a Physician (Geriatrics & Extended Care) to provide high quality patient centered care to ... Centers, Home Based Primary Care, Hospital In Home, Geriatric Evaluation Management (GEM) Clinic and Palliative/Hospice Care Service. Responsibilities The Geriatric… more
    Veterans Affairs, Veterans Health Administration (07/15/25)
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  • Staff Physician (Primary Care - Spinal Cord…

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    Summary The Staff Physician , Spinal Cord Injury/Disorders Service (SCI/D) is responsible for patient care, patient/family education, and supervision of resident ... to maintain proficiency in state-of-the-art rehabilitation/medical care. Responsibilities Staff Physician (SCI/D) is responsible for patient care, patient/family education.… more
    Veterans Affairs, Veterans Health Administration (08/08/25)
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