- Novo Nordisk Inc. (San Antonio, TX)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights… more
- Healthfirst (TX)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Prime Healthcare (Weslaco, TX)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/registered-nurse-case- manager utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Scottish Rite for Children (Dallas, TX)
- …+ Maintain effective communication with patient care team members related to utilization management + Verify medical necessity of all Inpatients using ... committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional… more
- Houston Methodist (The Woodlands, TX)
- …eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and managed ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed...determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan… more
- Elevance Health (San Antonio, TX)
- …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... immediate support. **Build the Possibilities. Make an extraordinary impact.** The ** Utilization Management Representative II - Prior Authorization** is… more
- CenterWell (Austin, TX)
- …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
- Performance Food Group (Westlake, TX)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... **Job Category:** Operations **Preferred Qualifications:** Associates/2-year technical degree in business management , logistics or related area. 4 - 6 years of… more
- Houston Methodist (Sugar Land, TX)
- …to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...and other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims… more
- Grifols Shared Services North America, Inc (Dallas, TX)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… more
