• Medical Director - IP Claims Management

    Humana (Austin, TX)
    …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (12/11/25)
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  • Medical Director - Medicaid (remote)

    Humana (Austin, TX)
    …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (12/07/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . Some experience in medical device or DME ... insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Experience in medical device or DME… more
    Abbott (11/18/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (10/25/25)
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  • PRN UR Coordinator

    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
    San Antonio Behavioral Health (11/26/25)
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  • Manufacturing Engineer II

    Toshiba International Corporation (Houston, TX)
    …methods, and quality control standards. + Analyzes and plans work force utilization , space requirements, and workflow, and designs layout of equipment and workspace ... quality control standards. + Analyzes and plans work force utilization , space requirements, and workflow, and designs layout of...with R&D or design groups to go over design review process in new product development. + Will utilize… more
    Toshiba International Corporation (11/23/25)
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  • Senior Decision Support Consultant

    Highmark Health (Austin, TX)
    …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... units that may assist in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the maintenance of the shared… more
    Highmark Health (11/14/25)
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  • Supv Comprehensive Care RN

    Baylor Scott & White Health (College Station, TX)
    …coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and ... FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review . Knowledge of human behavior and performance; individual… more
    Baylor Scott & White Health (10/25/25)
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  • Supv Comprehensive Care SW

    Baylor Scott & White Health (College Station, TX)
    …coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and ... FACTORS** Knowledge of care coordination, discharge planning, case management and utilization review . Knowledge of human behavior and performance; individual… more
    Baylor Scott & White Health (10/25/25)
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  • Case Manager - Inpatient Rehab - PRN

    Texas Health Resources (Dallas, TX)
    …available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective ... utilization review according to department identified criteria to determine the appropriate utilization of resources and patient level of care. Reviews daily… more
    Texas Health Resources (10/23/25)
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