Utilization Manager Jobs in Texas
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Search Results - Utilization Manager Jobs in Texas
Ascension-Austin
specifics.
Responsibilities
Provide strategic direction and oversight of the day-to-day operations of utilization management
function within the insurance plan.
• Ensure integration of utilization management functions with network strategy and claims...
University Health-San Antonio
POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director, Population Health Management (PHM) with oversight of short-term case management (CM) therapy services to facilitate high quality, cost effective care for Community First...
Christus Health-San Antonio
Description
Summary:
The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...
CVSHealth-Austin
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing...
cvshealth.com -
University Health-San Antonio
RN or LVN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management and call center experience preferred.
Experience in a similar...
Bryce Poynt Consulting-Houston
and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation, and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement...
resume-library.com -
University Medical Center of El Paso-El Paso
Job Description:
Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care.
Work...
mindmatch.ai -
Memorial Hermann Health System-Stafford (TX)
The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
The Director is responsible for developing systems and processes for care/utilization...
10 similar jobs: Cloverleaf, Humble, Pasadena, Aldine, Houston...
University Medical Center of El Paso-El Paso
Job Summary
The Case Manager comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care...
mindmatch.ai -
University Health-San Antonio
complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing, RN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case...
CVSHealth-Austin
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing...
cvshealth.com -
San Antonio Behavioral Health-San Antonio
or university.
Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in behavioral health environment preferred.
Must possess a positive attitude toward various populations.
Excellent verbal and written...
resume-library.com -
University Health-San Antonio
principles and Utilization Management tools preferred. Microsoft Office (Excel, Access, Word) experience a plus.
...
Prevention and Recovery Center-Houston
communicating and working with all clinical staff, utilization management, and referral sources
Responsibilities
Facilitates treatment from the time of admission through discharge to include group counseling, individual counseling, family counseling...
resume-library.com -
Memorial Hermann Health System-The Woodlands
of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas...
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