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Humana
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Austin, Texas
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Registered Nurse 2 uses clinical
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Centene Corporation
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Austin, Texas
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on our Medical Management/Health Services team. Centene is a diversified, national organization ... planning
Analyzes BH member data to improve quality and appropriate utilization of services
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Humana
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Austin, Texas
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**
Experience with Pharmacy Benefit Manager, Pharmacy, or Healthcare data, in particular drug utilization ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Centene Corporation
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Austin, Texas
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on our Medical Management/Health Services team. Centene is a diversified, national organization ... planning
Analyzes BH member data to improve quality and appropriate utilization of services
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UNIVERSITY OF TEXAS AT AUSTIN
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Austin, Texas
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management services for higher education, research and healthcare projects for all UT Austin campuses.Mentor ... resource utilization against ongoing changing needs of clients. Interpret information and ascertain a plan
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HCA Healthcare
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Austin, Texas
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effective utilization management through coordination of efforts involving patient flow.
You will ... utilization review, resource management, patient flow, multi-disciplinary rounds and hospital throughput
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UnitedHealth Group
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Austin, Texas
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, Utilization Management to join our team in Dallas, Austin, San Antonio, El Paso, Tampa, Orlando, Miami ... Utilization Management will support WellMed Medical Management, Inc. by making utilization management
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Humana
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Austin, Texas
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Austin, Texas
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Post-Acute Utilization Management Nurse 2:
Review
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Stryker
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Austin, Texas
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/services for our representatives and customers to include: order entry; picking, shipping, tracking ... counting, managing expired products and optimize inventory utilization. Maintain a state of constant audit
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HCA Healthcare
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Austin, Texas
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**
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... looking for a Director of Physician Services II for our St. David's Healthcare team where excellence
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Humana
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Austin, Texas
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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UNIVERSITY OF TEXAS AT AUSTIN
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Austin, Texas
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Lead team of project managers providing design and construction management services for higher education, athletics, auxiliary, research and/or healthcare projects for all UT Austin campuses.Mentor
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HCA Healthcare
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Austin, Texas
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**
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... . Do you want to be an influencer in healthcare? **Apply for our Director Surgical Services role today
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HCA Healthcare
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Austin, Texas
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Experience within healthcare operations required.
Experience with labor management systems preferred ... HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like
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Highmark Health
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Austin, Texas
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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HEALTH AND HUMAN SERVICES COMMISSION
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Austin, Texas
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Job/Position DescriptionThe Research Specialist (RS) V reports to the Benefits Management Review ... with Special Healthcare Needs (CSHCN) medical and dental policy and associated claims and encounters
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Humana
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Austin, Texas
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insurance, other healthcare providers, clinical group practice management.
Utilization management ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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HCA Healthcare
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Austin, Texas
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diversity and inclusion thrive? Submit your application for our Case Manager Rehab Social Services opening ... Healthcare team.
Benefits
St. David's Medical Center, offers a total rewards package that
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Humana
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Austin, Texas
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Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on ... Clinical - Utilization Management (UM) domain**
Serve as the primary point of contact (POC) to discuss
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HCA Healthcare
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Austin, Texas
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possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your ... common services at no cost or for a low copay. Plans include prescription drug and behavioral health
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CenterWell
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Austin, Texas
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education opportunities to drive maximum utilization of available resources, and directing patients on the ... . Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and
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HCA Healthcare
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Austin, Texas
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with St. David's Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are ... include:
Comprehensive medical coverage that covers many common services at no cost or for a low
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UNIVERSITY OF TEXAS AT AUSTIN
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Austin, Texas
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program designed to ensure cleaning services consistent with established standards. Interpret quality ... assurance activities. Keep management team abreast of significant issues or developments identified during
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Humana
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Austin, Texas
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determinations whether services provided by other healthcare professionals are concordant with national ... , with prior experience participating in teams focusing on quality management, utilization management
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CVS Health
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Austin, Texas
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wraparound services to promote effective utilization of available resources and optimal, cost-effective ... in healthcare decision-making
• Analyzes all utilization, self-report and clinical data
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CVS Health
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Austin, Texas
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/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of ... **
Crisis Intervention skills preferred.
Managed care/utilization management experience preferred. Case
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CVS Health
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Austin, Texas
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/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of ... **
Crisis Intervention skills preferred.
Managed care/utilization management experience preferred. Case
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CVS Health
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Austin, Texas
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utilization management, quality management, network management and clinical coverage and policies ... .
Coordinates with the MCOs' care management staff and providers on medical services not included in the aligned
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HCA Healthcare
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Austin, Texas
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**
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... , Healthcare Administration or a related field preferred
3+ years of experience in surgical services
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