- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center - M-F, 8:00 AM - 5:00 PM **Webster, Texas, United States** Nursing & Care Management UTMB Health ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… more
- Evolent (Austin, TX)
- …mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization … more
- Highmark Health (Austin, TX)
- …determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... the physician against medical policy criteria. The incumbent then uses...prior authorization or appeals against medical policy through the Utilization Review system. Update the system records… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management ... information to determine the patient's aftercare needs. + Coordinates with physician individualized discharge planning for patients. + Conducts reviews and other… more
- Houston Methodist (Houston, TX)
- …resources. This position is a key member and leader of the hospital's utilization review /management committee, which is charged with regulatory goals of ensuring ... of care, length of stay, and quality issues. + Chair the utilization review /management committee, actively participates in defining operational strategic… more
- Ascension Health (Georgetown, TX)
- …hospital setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense required) +… more
- HCA Healthcare (Austin, TX)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with St. David's Healthcare, you can be a manager in… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …vacancies occur. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting The … more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- Summary The South Texas Veterans Health Care System is currently seeking a Physician (Home Based Primary Care) to provide high quality patient centered care to ... Care and Geriatric Primary Care. Responsibilities The Home Based Primary Care Physician in collaboration with the Medical Directors and Program Managers of assigned… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …when assigned. Serve as Peer Reviewer for the Protected Peer Review Committee, when assigned. Demonstrate effective communication both down to staff ... process. Adheres to employee health requirements. Timely participates in peer review process. Clinical Management: Includes indirect patient care. Adheres to CPRS… more