- HCA Healthcare (Houston, TX)
- …Summary and Qualifications** Under the general supervision of the Pre-Admit Manager , performs support services for the department, assigned clerical, secretarial, ... and related responsibilities, promoting communication between the Director, Manager , medical staff, hospital staff, and patients. Provides effective scheduling by… more
- Prime Therapeutics (Austin, TX)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates -… more
- CenterWell (Arlington, TX)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
- Baker Construction (Houston, TX)
- …workforce utilization , and MBE/SBE participation, and advise the Project Manager of issues. Interface with Safety and Risk Management in establishing clinics, ... job cost summaries, and other reports. Alert the Superintendent and Project Manager of project impact relating to resource management and crew make-up/size. Generate… more
- Elevance Health (Houston, TX)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review ... Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants may not apply. Responsibilities ... (LPMHC) is directly responsible to the Recovery Services Program Manager and ultimately to the Chief of Psychology and...and a part of the Veteran's recovery plan. Ensures utilization of government owned equipment (ie, laptop computers, phones,… more
- US Foods (Garland, TX)
- …through the following: consultative services to aid customers through improved utilization of the fresh categories; SOUS training; conducting product demonstrations ... and menu ideas prioritized for top penetration opportunities to achieve Market/Area case growth objectives for category, as well as, realize Exclusive Brand (EB)… more
- Houston Methodist (Sugar Land, TX)
- …admissions and avoid inappropriate or unnecessary hospitalizations. + Partner closely with Case Management and Utilization Review to ensure optimal ... best practices. + **Operational Oversight** + Collaborate with the Program Manager , Chief Medical Officer, and other administrative leaders to optimize hospitalist… more
- Methodist Health System (Richardson, TX)
- …rendered care. This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients ... that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of all patient complaints, and asks for assistance if… more
- SitusAMC (Houston, TX)
- …management. + Monitor workflow of assigned team members to ensure optimal utilization . + Develop and monitor processes, best practices, and key performance ... indicators; review and approve procedures related to operations in Credit...Such other activities as may be assigned by your manager . Qualifications/ Requirements: + Bachelor's degree required, Master's degree… more
Recent Jobs
-
Blood Component Manufacturing Technician
- American Red Cross (St. Paul, MN)
-
Senior Sustainability Analyst
- Republic Services (Phoenix, AZ)
-
Software Engineer (Backend) - Early in Career
- Cisco (NC)
-
Senior Director, Insights and Analytics, Oncology
- Sanofi Group (Cambridge, MA)