Utilization Manager Jobs in Texas

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Search Results - Utilization Manager Jobs in Texas

Senior Systems/Application/Service Delivery Manager - Utilization Management Domain

apartmentGainwell Technologies LLCplaceDallasevent_availableyesterday

comprehensive leadership and technical development academies to help build your skills and capabilities. Summary This leadership role is responsible for the day-to-day operations of the Utilization Management (UM) contract and serves as the single point...

1 similar job: Houston

Senior Systems/Application/Service Delivery Manager : Utilization Management Domain

placeSan Antoniolanguagetiptopjob.comevent_available6 days ago

have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary This leadership role is responsible for the day:to:day operations of the Utilization Management (UM) contract and serves...

2 similar jobs: Dallas, Houston

Manager Case Management

apartmentSmart IT Frame LLCplaceHoustonlanguageappcast.ioevent_availabletoday

management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level...

Physician Advisor, Physician - Advisor (Care Management and CDI)

apartmentCHRISTUS HealthplaceLongview (TX)event_availabletoday

affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules...

Bilingual Community Health Worker

apartmentDisability SolutionsplaceFort Worthevent_availabletoday

include utilization management, service coordination, and population health management. This position also provides health education and care coordination services for CCHP members telephonically, in home, or health facility settings. Additional...

Care Manager TDCJ <=19. 99 hours

apartmentUTMB HealthplaceGalveston (TX)event_availableyesterday

and coordinates utilization management, care coordination and discharge planning functions. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender...

Medical Director Physician

apartmentMD Staff Pointe, LLCplaceDallaslanguagewhatjobs.comevent_available2 days ago

activities across utilization management, quality initiatives, pharmacy collaboration, provider performance, and member/provider education. Key Responsibilities Include: • Reviewing prior authorizations and appeals for medical necessity • Conducting peer...

Executive, Physician Advisor

apartmentCHRISTUS HealthplaceBeaumontevent_availabletoday

with an understanding of utilization review Served on or chaired a Utilization Management Committee Demonstrated cost-efficient practice Physician Advisor - Care Management & CDI Duties and Responsibilities Utilization Management Plan: 20% In collaboration...

Obstetrics & Gynecology Physician

apartmentBAS HealthcareplaceDallaslanguagewhatjobs.comevent_available3 days ago

transition to permanent role • Reviews prior authorization and appeals requests based on medical necessity • Performs peer-to-peer calls to support utilization management processes • Provides clinical oversight for utilization management, disease management...

Manager of Trauma Case Management

apartmentPMC Medical StaffingplaceHoustonlanguageappcast.ioevent_availabletoday

This crucial leadership role encompasses Care Facilitation, Utilization Management, and complex Discharge Planning for the trauma care continuum. Key Responsibilities • Operational Oversight: Coordinate daily departmental workflows and resource utilization...

Medical Director Physician

apartmentSource Medical, LLC.placeBeaumontlanguagewhatjobs.comevent_available2 days ago

affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff. Provides guidance on physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules...

Executive, Onsite Physician Advisor - Texarkana

apartmentCHRISTUS HealthplaceTexarkana (TX)event_availabletoday

Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers...

Manager Case Management

apartmentElios HealthcareplaceHoustonlanguageappcast.ioevent_availabletoday

on patient outcomes, length of stay, and care transition quality. What you'll bring: • Active RN licensure in Texas or LMSW (LCSW preferred) • Case Manager Certification (CCM or equivalent) required • 5+ years in utilization management, case management...

Medical Director Physician

apartmentParkland HealthplaceDallaslanguagewhatjobs.comevent_available2 days ago

Location: Mockingbird Towers 4th FLR PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for effective utilization and quality management of the health plan network. Supports the clinical activities...

Anesthesiology Physician

apartmentCHRISTUS HealthplaceTexarkana (TX)languagewhatjobs.comevent_available2 days ago

in clinical practice with an understanding of utilization review Served on or chaired an Utilization Management Committee Demonstrated cost-efficient practice Physician Advisor - Care Management & CDI Duties and Responsibilities Utilization Management Plan...