• Director of Clinical Services

    San Antonio Behavioral Health (San Antonio, TX)
    …Duties: . Ensure quality care to patients by developing, implementing, and directing behavioral health treatment programs for inpatient services . Direct and ... management and communication to ensure effective and efficient department operation . Review caseloads regularly to ensure appropriate utilization of services .… more
    San Antonio Behavioral Health (08/16/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …include: + **Comprehensive benefits** for medical, prescription drug, dental, vision, behavioral health and telemedicine services + **Wellbeing support,** ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved...ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of… more
    HCA Healthcare (09/04/25)
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  • Medical Director-Dermatology Appeals

    Elevance Health (Grand Prairie, TX)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (10/01/25)
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  • Manager, Healthcare Services

    Molina Healthcare (TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
    Molina Healthcare (09/27/25)
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  • Senior Architect - Cloud

    Highmark Health (Austin, TX)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and… more
    Highmark Health (07/22/25)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Mckinney, TX)
    …issues tied to patient care coordination, discharge planning, case management, and utilization review . + Monitor procedures and systems closely for efficient ... Days** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families,...personalities, and interests, is beneficial. + Assessing and treating behavioral and emotional disorders also helps. + Having a… more
    Baylor Scott & White Health (09/03/25)
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  • Nurse Manager II - NICU / Women's Inpatient Unit…

    Texas Health Resources (Arlington, TX)
    …We offer advanced care in medical and surgical services, cancer treatment, women's health , behavioral health , neurosciences, emergency and sports medicine. ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
    Texas Health Resources (10/02/25)
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  • Nurse Manager I-PAT/Pre-Post Surgery/PACU

    Texas Health Resources (Bedford, TX)
    …and vascular care, acute and medical-surgical care, intermediate/step-down care, oncology, behavioral health , and emergency medicine. Additional services include ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
    Texas Health Resources (09/19/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration ... continuum of care with the goal of maximizing member health and well-being, improving adherence to health ...the member's current status, with attention to the physical, behavioral , social and economic care needs Coordinates a comprehensive… more
    Apex Health Solutions (08/24/25)
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  • Quality Assurance Coordinator

    BrightSpring Health Services (Arlington, TX)
    …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... is focused on maintaining local compliance with State, Federal and BrightSpring Health requirements. The QAC provides leadership oversight to operations in meeting… more
    BrightSpring Health Services (09/25/25)
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