• Director Utilization

    Texas Health Resources (Arlington, TX)
    Director Utilization Management - Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
    Texas Health Resources (09/25/25)
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  • Medical Director - Claims Management

    Humana (Austin, TX)
    Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by ... Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical … more
    Humana (09/17/25)
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  • Utilization Review Case Mgr - Galv. Campus…

    UTMB Health (Galveston, TX)
    …of the use of medical services, procedures, and facilities. Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise, and ... and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system… more
    UTMB Health (09/24/25)
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  • Director of Pharmacy - Clinical

    UTMB Health (Galveston, TX)
    Director of Pharmacy - Clinical Services **Galveston, Texas, United States** **New** Executive UTMB Health Requisition # 2505391 **Summary:** The Director of ... the delivery of high-quality, evidence-based, and cost-effective medication therapy management , aligning with organizational goals for clinical excellence,… more
    UTMB Health (10/02/25)
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  • Director of Clinical Services

    San Antonio Behavioral Health (San Antonio, TX)
    The Clinical Services Director oversees inpatient clinical operations, staff management , and regulatory compliance, and the successful day-to-day ... clinical operations. The Director will be primarily responsible for overseeing the operational...management , and independent decision making for program requiring clinical expertise . Ensures that the most effective treatment… more
    San Antonio Behavioral Health (08/16/25)
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  • Clinical Director of Nursing

    HCA Healthcare (Dallas, TX)
    …eligible. Do you want to join an organization that invests in you as a Clinical Director of Nursing? At Medical City Ambulatory Surgery Center, you come first. ... make a difference. We are looking for a dedicated Clinical Director of Nursing like you to... management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing… more
    HCA Healthcare (09/19/25)
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  • Clinical Director of Nursing

    HCA Healthcare (Houston, TX)
    …is incentive eligible. **Introduction** Do you have the career opportunities as a ** Clinical Director of Nursing** that you want with your current employer? ... of colleagues. Do you want to work as a(an) Clinical Director of Nursing - Surgery Center... management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing… more
    HCA Healthcare (09/19/25)
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  • Director of Clinical Informatics

    HCA Healthcare (Houston, TX)
    …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director of Clinical Informatics where building a healthier tomorrow is more than ... hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Director of Clinical Informatics where your passion for leading and creativity are… more
    HCA Healthcare (08/09/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Austin, TX)
    … Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management of all client specific clinical ... programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy...+ PBM Experience + 1 year of direct client management experience + 1 year of clinical more
    Prime Therapeutics (10/01/25)
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  • Director , Clinical Systems

    Molina Healthcare (Fort Worth, TX)
    …of technology that drives core utilization management , care management , long-term services and supports (LTSS), clinical operations and business ... least 3 years management /leadership experience in a clinical leadership, clinical systems and/or informatics, utilization management , or care … more
    Molina Healthcare (10/01/25)
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