- HCA Healthcare - Chief Medical Officer (San Antonio, TX)
- …ongoing in-service programs to facility medical staff regarding clinical resource management, appropriate documents standards, utilization and quality ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure... staff affairs. Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization ,… more
- Novo Nordisk Inc. (Lubbock, TX)
- …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... other field-based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales… more
- Christus Health (Wake Village, TX)
- …procedures manual. Participates in medical chart peer review , case records review and utilization review as deemed necessary by management. Performs ... Registrations, or Certifications Application to begin fellowship year. At onset of clinical fellowship year, apply for temporary license with Arkansas and Texas… more
- Christus Health (Texarkana, TX)
- …department. Participates in medical chart peer review , case record review and utilization review as deemed necessary. Assumes responsibility for ... to accepted standards of ethical conduct for the occupational therapist. Clinical competencies in occupational therapist skills and techniques are demonstrated in… more
- Unknown (Houston, TX)
- …as a practitioner for faculty, fellows and residents and students. Provide peer review for assessing the clinical practice of faculty within the Department. ... reports to the Head of the Division of Surgery. GENERAL DUTIES: Provides clinical expertise in patient care management with emphasis in Urologic cancers. Must have… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... patient and hospital. Proactively refers cases to physician adviser for P2P, medical necessity review , and denail avoidance. Demonstrates and maintains current… more
- University Health (Pleasanton, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with … more
- Parexel (Austin, TX)
- …West Coast hours. **About Us:** At Parexel, we are dedicated to advancing clinical research and supporting medical affairs with innovative solutions. We are ... clinical trial data and/or Real World Data) + Medical affairs experience (Phase IIIB - IV trials experience);...ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or… more
- Houston Methodist (Houston, TX)
- …of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...regarding any claim issues or concern that may require clinical review during the pre-bill, audit, or… more
- Humana (Austin, TX)
- …put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication ... work **1 company holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
