- Centene Corporation (Austin, TX)
- … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- CenterWell (Austin, TX)
- …consistent and standardized program workflows, dyad communication/partnership, and quarterly business review of acute care and post-acute care utilization . + ... and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with...credible leader with deep understanding and empathy for the clinician and patient pain points in day-to-day panel management… more
- Elevance Health (Houston, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Medical Director** is responsible for serving as the lead clinician for a plan. Responsible for the administration of...responsible for working with the CMO, Behavioral Health CMO ( BH -CMO), Pharmaceutical director and the whole health director to… more