- Elevance Health (Houston, TX)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... employment, unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- Terracon (Dallas, TX)
- …Supervise daily department operations including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, ... designated service line by providing training, inspections, and workforce/equipment utilization . + Partner with Director, Regional Operations and Operations Managers… more
- Highmark Health (Austin, TX)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- Molina Healthcare (Austin, TX)
- …team supporting non-clinical healthcare services activities for care management, care review , utilization management, transitions of care, behavioral health, ... within Molina's clinical/healthcare services function, which may include care review , care management, and/or correspondence processing, etc. * Researches and… more
- Terracon (College Station, TX)
- …operations of a department including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, quality ... of services and work product, timely delivery of services and deliverables, and adherence to policies and procedure. Plan for and participate in business development activities to identify, develop, win, and execute project opportunities and build and maintain… more
- PDS Tech Commercial (Richardson, TX)
- …daily and weekly reports on schedule adherence, material shortages, and line capacity utilization for management review . **What We're Looking For** + **4 to ... 6** years of experience in a planning, material control, or scheduling support role within a manufacturing environment. + Foundational knowledge of the Electronics Manufacturing Services (EMS) or a similar high-tech assembly sector. Exposure to complex system… more
- Celestica (Richardson, TX)
- …and weekly reports on schedule adherence, material shortages, and line capacity utilization for management review . **Required Experience & Qualifications** + 4 ... to 6 years of experience in a planning, material control, or scheduling support role within a manufacturing environment. + Foundational knowledge of the Electronics Manufacturing Services (EMS) or a similar high-tech assembly sector. Exposure to complex system… more
- ChenMed (Houston, TX)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... assist in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through… more