-
Baylor Scott & White Health
-
Dallas, Texas
...
JOB SUMMARY
Dir Neuroscience and ENT (Ear, Nose & Throat) is responsible for planning ... , pain management, headache and migraine, and other nerve disorders. Plans and directs programs and
...
-
TEKsystems
-
San Antonio, Texas
...
properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare
...
-
TEKsystems
-
San Antonio, Texas
...
properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare
...
-
TEKsystems
-
Dallas, Texas
...
utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
Education/Experience
...
-
TEKsystems
-
Dallas, Texas
...
authorization requests are addressed properly and in the contractual timeline. Aids utilization management team ... management system
Assists utilization management team with ongoing tracking and appropriate documentation
...
-
AT&T
-
Dallas, Texas
...
budget utilization to senior management and relevant stakeholders.
**Qualifications ... in enhancing the efficiency and reliability of AT&T's fleet operations through expert management of
...
-
Houston Methodist
-
Houston, Texas
...
knowledge of utilization management, clinical documentation, and state and federal healthcare regulations ... . The Physician is a key member and leader of the hospital's utilization review/management committee
...
-
CommonSpirit Health
-
Houston, Texas
...
licensed in other states will be considered for future openings.**
As the Utilization Management ... care services. The PA meets with case management and health care team members to discuss selected cases
...
-
CVS Health
-
Austin, Texas
...
effectiveness of Healthcare Services and benefit utilization
Consults and lends expertise to other internal ... .
Position Summary
Precertification: Utilization Management Nurse Consultant
Utilizes clinical
...
-
CVS Health
-
Austin, Texas
...
quality effectiveness of Healthcare Services and benefit utilization
Consults and lends expertise to ... .
Position Summary
Precertification: Utilization Management Nurse Consultant
Utilizes clinical
...
-
HCA Healthcare
-
Houston, Texas
...
readmissions. This position integrates national standards for case management scope of services including ... length of stay, timely and appropriate utilization of services rendered, and identification of patient
...
-
Universal Health Services
-
DENISON, Texas
...
providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive ... spiritual needs. TMC has responded with unique services to provide the kind of sophisticated, experienced
...
-
HCA Healthcare
-
Round Rock, Texas
...
Medical Center team is looking for a(an) Director of Clinical Operations. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of
...
-
HCA Healthcare
-
San Antonio, Texas
...
access and appropriate utilization of services; 3) facilitate communication and coordination of efforts ... Hospital Stone Oak today and find out what it truly means to be a part of the HCA Healthcare team
...
-
Humana
-
Austin, Texas
...
comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
...
-
Molina Healthcare
-
Dallas, Texas
...
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with ... executes internal Healthcare Services projects and programs involving department or cross-functional teams
...
-
CVS Health
-
Austin, Texas
...
quality effectiveness of Healthcare Services and benefit utilization
Consults and lends expertise to ... .
Position Summary
Precertification: Utilization Management Nurse Consultant
Utilizes clinical
...
-
Texas State University
-
San Marcos, Texas
...
TitleAssociate Director, Event Services
University Pay Plan TitleAssoc Dir, Student Center ... planning and management, conference services, hospitality, or related field.
Previous customer
...
-
Molina Healthcare
-
Dallas, Texas
...
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with ... executes internal Healthcare Services projects and programs involving department or cross-functional teams
...
-
Humana
-
Austin, Texas
...
, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
...
-
HCA Healthcare
-
San Antonio, Texas
...
is looking for a Director of Physician Services II. HCA Healthcare is an advanced healthcare network ... , nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of
...
-
Conviva
-
Austin, Texas
...
: Daytona, FL, Louisville, KY, San Antonio, TX
The Utilization Management Nurse utilizes clinical nursing ... administration determinations. The Utilization Management Nurse work assignments are varied and frequently
...
-
HEALTH AND HUMAN SERVICES COMMISSION
-
Austin, Texas
...
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
...
-
HCA Healthcare
-
Houston, Texas
...
**
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... management, appropriate documents standards, utilization and quality issues, and quality improvement
...
-
HCA Healthcare
-
San Antonio, Texas
...
management, policy and procedure development and education across the healthcare spectrum. The Clinical ... you as a(an) Clinical Pharmacy Manager? In Methodist Hospital System, you come first. HCA Healthcare
...
-
CVS Health
-
Austin, Texas
...
utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and medical necessity criteria for appropriate utilization of services
...
-
HCA Healthcare
-
Dallas, Texas
...
covers many common services 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 transportation
...
-
HCA Healthcare
-
Stafford, Texas
...
**
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 HCA Houston Healthcare team where excellence
...
-
Children's Home Healthcare
-
Amarillo, Texas
...
authorizations for Home Health services from insurance company.
Attend quarterly Utilization Review ... travel to patient homes
Utilization Management Experience
Reliable transportation for
...
-
HCA Healthcare
-
Coppell, Texas
...
development, management of appropriate drug utilization, drug spend analysis, and quality improvement ... HealthTrust Supply Chain, you come first. HCA Healthcare has committed up to $300 million in programs to
...