- Houston Methodist (Houston, TX)
- …experience which could include physician's office, acute care, long term care, home health . + Case Management experience preferred. **LICENSES AND CERTIFICATIONS ... data management support to the department staff to facilitate efficient utilization of resources including referrals management, communication and collaboration with… more
- Evolent (Austin, TX)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved… more
- HCA Healthcare (Houston, TX)
- …a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced ... HCA Houston Healthcare Northwest, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Round Rock, TX)
- …Round Rock Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… 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 ... the arrangement of any necessary follow-up services such as durable medical equipment, home health and/or placement + You will provide advocacy in support of the… more
- Evolent (Austin, TX)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a… more
- HCA Healthcare (Fort Worth, TX)
- …Medical City Fort Worth, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Process Improvement Lead researches best business practices within and outside the ... involvement in day-to-day UM activities and discussions with UM leaders. 20% 2. Review and monitor Contract Change Orders and evaluate impact on Utilization … more
- CenterWell (Fort Worth, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in… more
- CenterWell (Arlington, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities… more