• BCBA Clinical Supervisor

    BrightSpring Health Services (San Antonio, TX)
    Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic Supervisor for Youth ABA Line of Business Salary: $75K PLUS BONUS ... program development + Meet with school districts to provide current information on Spring Health Behavioral Health and Integrated Care Services + Explore… more
    BrightSpring Health Services (08/22/25)
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  • National Accounts Medical Director

    Elevance Health (Grand Prairie, TX)
    …clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical ... state or territory of the United States when conducting utilization review or an appeals consideration and...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (09/23/25)
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  • Mental Health Prof II Mast PRN

    HCA Healthcare (Corpus Christi, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality… more
    HCA Healthcare (09/19/25)
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  • Medical Director

    Elevance Health (TX)
    …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and..._For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5… more
    Elevance Health (09/29/25)
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  • Supv Comprehensive Care SW

    Baylor Scott & White Health (Dallas, TX)
    …staff. They assess and coordinate patient care, including case management, social work, utilization review , and care coordination. The goal is to achieve optimal ... Mondays).** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families,...Knowledge of care coordination, discharge planning, case management and utilization review . + Knowledge of human behavior… more
    Baylor Scott & White Health (09/07/25)
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  • UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
    San Antonio Behavioral Health (09/27/25)
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  • Mental Health Professional II Masters

    HCA Healthcare (San Antonio, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... + Participates in developing department goals/objectives and clinical programming. Performs utilization review as assigned. + Assists with Process and… more
    HCA Healthcare (09/28/25)
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  • Part-Time Weekend Medical Director (Remote)

    Highmark Health (Austin, TX)
    …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
    Highmark Health (09/11/25)
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  • Mental Health Prof III - Oncology

    HCA Healthcare (Webster, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...Health Prof III - Oncology opening. We promptly review all applications. Highly qualified candidates will be contacted… more
    HCA Healthcare (08/26/25)
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  • Chief Medical Officer

    HCA Healthcare (San Antonio, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Texsan, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...of quality and cost improvement and develops systems to review utilization of resources and objectively measure… more
    HCA Healthcare (09/20/25)
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