- HCA Healthcare (Corpus Christi, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (San Antonio, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...such as, but not limited to, lockout/tagout, proper ladder utilization , eye protection, hand and skin precautions. Keep abreast… more
- Evolent (Austin, TX)
- …to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
- HCA Healthcare (Corpus Christi, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Houston, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (El Paso, TX)
- …with patients and/or families as needed + You will complete accurate and timely utilization review of patient charts to insure appropriate utilization of ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Evolent (Austin, TX)
- …role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a **Cardiologist** to ... cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process improvement and… more
- MD Anderson Cancer Center (Houston, TX)
- …or clinic setting, to include experience as a case manager, triage nurse, utilization review nurse, call center nurse, or related experience. *Preferred*: ... questions, care instructions, follow up appointments, post discharge DME, home health, or others resource needs necessary to prevent...to include experience as a case manager, triage nurse, utilization review nurse, call center nurse or… more
- Humana (Austin, TX)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations,… more
- Humana (Austin, TX)
- …requiring minimal instructions to achieve solutions. May provide coaching and/or review the work of lower-level associates. Makes decisions on moderately complex ... Measures, and CAHPS/HOS survey system) + Understanding of clinical utilization and levers to improve performance + Understanding of...time that is best for your schedule. **Work At Home / Internet Guidance:** To ensure Home … more