• 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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  • Director, Physician Leadership - Medical…

    Humana (Austin, TX)
    …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team… more
    Humana (08/21/25)
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  • Utilization Review Specialist Nurse | Case…

    Houston Methodist (Houston, 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 (08/16/25)
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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 Case Mgr - CMC - Clear…

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (08/21/25)
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  • Growth Specialist - Physician Relations

    Texas Health Resources (Allen, TX)
    …for both physician and patient populations, market share patterns, patient utilization data, and physician practice trends. + Provide market assessment/field ... **Growth Specialist - Physician Relations** _Bring your passion to Texas Health...is responsible for driving strategic growth and enhancing the utilization of Texas Health services within designated products, facilities,… more
    Texas Health Resources (08/16/25)
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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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