- Houston Methodist (Katy, TX)
- …is responsible for strategic, administrative, and operational leadership for the Utilization Management (UM) department across the Houston Methodist system. ... + Leverages technology platforms, predictive analytics, and real-time dashboards to enhance utilization management processes. Works with IT and analytics teams… more
- Houston Methodist (Katy, TX)
- …improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for ... for providing executive leadership and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or coordinating complex delivery of care within a large, ... for maximizing revenue through efficient, effective and compliant procedure. The Senior Practice Manager position works collaboratively with clinic medical staff and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Exercise Physiologist position effectively evaluates patients referred to the Cardiac Rehabilitation program, develops and ... implements effective, efficient, management /treatment plans. This position assumes additional responsibilities, which support the growth and professional development… more
- Houston Methodist (The Woodlands, TX)
- …and trends in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information and focuses the ... for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** +… more
- Evolent (Austin, TX)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Austin, TX)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Stay for the culture. **What You'll Be Doing:** Job Description **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
- HCA Healthcare (Conroe, TX)
- …+ Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management and serves as a liaison between committees and ... review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed… more
- Koniag Government Services (San Antonio, TX)
- …a Koniag Government Services company, is seeking a Tier 3 Level Enterprise Management Reporting Support Services to support KDS and our government customer at Joint ... expert-level support and leadership for the Defense Health Agency's Enterprise Management Reporting services. Serves as a top-tier specialist in designing,… more
- Evolent (Austin, TX)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more