- Highmark Health (Austin, TX)
- …or care giver, physician, and/or pharmacist through the intervention. **ESSENTIAL RESPONSIBILITIES** + Review gaps in care for high risk patients ss part of a ... Pharmacy + 3 - 5 years in Pharmacist - Utilization Management + 3 - 5 years in Pharmacist...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- 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 ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- HCA Healthcare (Dallas, 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 ... Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
- 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 ... and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and… more
- CenterWell (Austin, TX)
- …Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned ... review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or… more
- HCA Healthcare (Houston, 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 ... Woman's Hospital of Texas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- Texas A&M University System (Bryan, TX)
- …+ Experience: Bilingual (Spanish Preferred. One year of practice experience in a behavioral health or related setting. (This experience may be accrued during ... Responsibilities Include: + Mental Health Services - Provides detailed Behavioral Health evaluations incorporating a psychosocial history including risk… more
- HCA Healthcare (El Paso, 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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- HCA Healthcare (El Paso, 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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- HCA Healthcare (Houston, 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 ... Texas Orthopedic Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
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