• Dental Network Service Representative

    Highmark Health (Austin, TX)
    …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
    Highmark Health (07/31/25)
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  • RN Case Manager

    Prime Healthcare (Mesquite, TX)
    …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... including referrals to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of hospital resources and services to ensure… more
    Prime Healthcare (07/30/25)
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  • Advanced Clinical Pharmacist Critical Care

    HCA Healthcare (Live Oak, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more
    HCA Healthcare (07/27/25)
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  • Clinical Nurse, Outpatient (Pacemaker)…

    MD Anderson Cancer Center (Houston, TX)
    …or treatment team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences ... Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers, and reading… more
    MD Anderson Cancer Center (07/10/25)
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  • Advanced Clinical Pharmacist-Med Safety - Quality

    HCA Healthcare (San Antonio, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more
    HCA Healthcare (06/21/25)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (San Antonio, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more
    HCA Healthcare (06/21/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts… more
    HCA Healthcare (06/21/25)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (San Antonio, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more
    HCA Healthcare (06/21/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior ... functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts… more
    HCA Healthcare (06/21/25)
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  • Site Medical Director

    YesCare Corp (Waxahachie, TX)
    …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. **YesCare Benefits** (only ... and paraprofessional staff. + Ensure and provide on-call services. + Annually review and approve clinical protocols, policies and procedures, and medical disaster… more
    YesCare Corp (07/31/25)
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