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Utilization Manager Jobs in Austin

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Search Results - Utilization Manager Jobs in Austin
apartmentCurative HR LLCplaceAustinlanguagetrinethire.comevent_available
boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY The Utilization Management Program Analyst supports the development, implementation...
apartmentDOCTORS CHOICE PLACEMENT SERVICES, INC.placeAustinevent_available
Utilization Management Review - Full-Time & Part-Time (REMOTE) Physician Opportunities 100% Remote positions - No Office, No Hospital work! Great schedule/quality of life! Competitive Base Salary (To be discussed directly with the company). Full...
apartmentCurative HR LLCplaceAustinlanguagetrinethire.comevent_available
quality, cost-effective pharmacy services. This role also contributes to clinical and formulary strategy, including clinical program development and formulary optimization, ensuring alignment between network design, utilization management, and overall...
placeAustinlanguageicims.comevent_available
Overview: Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care...
apartmentTexas Health ActionplaceAustinlanguageworkable.comevent_available
fiscal responsibility in clinical decision-making by actively participating in resource and utilization management. This may include but is not limited to making cost-effective choices regarding laboratory testing, medication prescribing, visit frequency...
apartmentCurative HR LLCplaceAustinlanguagetrinethire.comevent_available
requirements, and state regulations. Cross-Functional Collaboration  •  Partner with internal stakeholders including Network, Utilization Management, Provider Operations, Member Services, Compliance, and Technology.  •  Act as a strategic liaison for complex...
placeAustinlanguageicims.comevent_available
population. Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS:  •  Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional...
apartmentCurative HR LLCplaceAustinlanguagetrinethire.comevent_available
the subsidization of experimental research.  •  Provide clinical and financial justifications to providers when redefining disputed SOC costs. Cross-Functional Leadership  •  Collaborate with the Utilization Management, Member Success, Claims, Payment Integrity...
placeAustinlanguageicims.comevent_available
continuous quality improvement and utilization management initiatives and activities to ensure high-quality standards of patient care.  •  Attends and participates in scheduled staff meetings, supervision sessions, training, and other relevant meetings necessary...
apartmentUniversity HealthplaceNew Braunfels, 34 mi from Austinevent_available
and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing, RN or LVN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management...

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