- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs...a voice for the department. + Sets direction for Case Management / Social Services which supports… more
- HCA Healthcare (Fort Worth, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Alliance, you come first. HCA ... make a difference. We are looking for a dedicated Director Case Management like you...preferred + Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social … more
- Humana (Austin, TX)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + ... in teams focusing on quality management , utilization management , case management , discharge planning..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- AdventHealth (Mansfield, TX)
- …based on medical screening criteria to ensure optimum reimbursement. Responsible for case management , social worker/discharge planning processes and length ... Works closely with physicians and the campus leadership team on utilization/ case management issues. Actively participates in outstanding customer service… more
- CenterWell (Austin, TX)
- …use of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of ... prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or… more
- Humana (Austin, TX)
- …metrics + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health + ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Austin, TX)
- …+ Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + ... in teams focusing on quality management , utilization management , case management , discharge planning...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- Humana (Austin, TX)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + ... in teams focusing on quality management , utilization management , case management , discharge planning...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** As ** Director , Business Development Project Management ** , you will be the driving force behind strategic growth initiatives, translating complex ... to ensure the CROSSMARK brand story is consistently and effectively communicated across all social media platforms. + **RFP Management :** Will own and manage RFP… more
- Humana (Austin, TX)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + ... in teams focusing on quality management , utilization management , case management , discharge planning...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more