• Care Review Clinician , ABA…

    Molina Healthcare (Fort Worth, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS ... stay for requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide ABA/BHT services to Molina… more
    Molina Healthcare (07/24/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Dallas, TX)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
    Molina Healthcare (07/27/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Austin, TX)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
    Molina Healthcare (07/18/25)
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  • Care Review Clinician , PA (RN)…

    Molina Healthcare (Fort Worth, TX)
    …Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
    Molina Healthcare (07/17/25)
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  • Licensed Intake Clinician

    HCA Healthcare (Dallas, TX)
    …interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services** + **Performs utilization review as ... hours volunteering in our communities. As a(an) Licensed Intake Clinician with Medical City Green Oaks Hospital you can...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (07/25/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Dallas, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (06/27/25)
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  • Associate Medical Director- Dallas

    CenterWell (Arlington, TX)
    …clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to… more
    CenterWell (07/18/25)
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  • BCBA Clinical Supervisor

    BrightSpring Health Services (San Antonio, TX)
    …+ In-service behavior clinician (s) on all changes made to regulations. + Review all billing for BCBAs, BCaBA's, RBTs and Behavior Technicians on a minimum the ... Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic...professional teams. Provide staff/family training on implemented programs. + Review all Functional Behavior Assessments/Behavior Support Plans prior to… more
    BrightSpring Health Services (05/21/25)
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  • Case Management Analyst - Field - Texas

    CVS Health (Dallas, TX)
    …+ Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. ... judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. + The care manager will be… more
    CVS Health (07/05/25)
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  • Division Director of Clinical Informatics

    HCA Healthcare (Dallas, TX)
    …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... related to the electronic health record (EHR) including: 1. standardization 2. utilization 3. integration 4. optimization The DCI is responsible for development,… more
    HCA Healthcare (07/14/25)
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