- HCA Healthcare (Austin, TX)
- …a data-driven environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in ... for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level staff regarding delegated… more
- Molina Healthcare (Austin, TX)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical ... Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental health… more
- RxBenefits (Houston, TX)
- …channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer ... structure, new prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical vendor/PBM contracts including… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more
- Texas Health Resources (Plano, TX)
- …Credentials Committee to coordinate medical staff credentialing including the review of credentials, delineation of clinical privileges, development of privileges, ... Work with the quality department and medical staff leadership to conduct robust peer review . b. Support the Quality Department and Medical Staff Leadership in Peer … more
- Baylor Scott & White Health (Temple, TX)
- …coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and ... problem solving related to care coordination, discharge planning, case management and utilization review . Monitors processes and systems to ensure efficient… more
- Molina Healthcare (TX)
- …oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- HCA Healthcare (Dallas, TX)
- …related to the electronic health record (EHR) including: + standardization + utilization + integration + optimization The DCI is responsible for development, ... AND DUTIES:** + Implementation and support of facility-wide standardization, utilization , integration, and optimization activities related to the EHR and… more
- Ascension Health (Austin, TX)
- …(Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to join a ... talented group of physicians apply today! **Responsibilities:** Work in areas of utilization management and denial mitigation, including but not limited to: + … more
- Parsons Corporation (San Antonio, TX)
- …and Human Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role ... research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, and business planning. **What You'll Be Doing:** +… more