- Houston Methodist (Houston, TX)
- …and trends in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information and focuses the ... for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** +… more
- Community Health Systems (Longview, TX)
- …compliance with regulatory agencies, accreditation bodies, and healthcare laws governing physician practice management , billing, coding, and patient privacy. + ... a related field preferred + 7-9 years of experience in healthcare administration, physician practice management , or outpatient operations required + 3-5 years of… more
- Grifols Shared Services North America, Inc (Dallas, TX)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... services in more than 110 countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play a vital role in the… more
- Centene Corporation (Austin, TX)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Houston Methodist (The Woodlands, TX)
- …case management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the… more
- Molina Healthcare (Austin, TX)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- ConvaTec (Fort Worth, TX)
- …global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care, ... goals. Identify, prioritize, pull-through, and close opportunities. + Ensure effective utilization of the products by all trained Health Care Professionals within… more
- Catholic Health Initiatives (Houston, TX)
- …market accountabilities as the MCMO include patient safety, patient experience, physician engagement, physician recruitment, and medical staff affairs. A ... high‐value, safe patient care through oversight of all aspects of physician performance, quality, and clinical integration. Specifically responsible for providing… more
- Grifols Shared Services North America, Inc (Dallas, TX)
- …countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...relationships in institutions aligned with customer segmentation. + Develop physician influencer champions to submit and approve P&T requests… more
- ChenMed (Houston, TX)
- …in conjunction with the transitional care team; hospital, SNF, post-acute, delegated utilization management and home-based services for the market. + Performs ... plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation… more