Utilization Manager Jobs in Texas
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Search Results - Utilization Manager Jobs in Texas
Houston-icims.com-
Job Description:
Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Lackland AFB in San Antonio, TX.
This contract position offers:
• Monday-Friday 730am-430pm
• Outpatient Clinic...
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2 similar jobs: San Antonio, Dallas
Memorial Hermann Health System-Katy-
Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning...
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13 similar jobs: Texas City, Fulshear, Sugar Land, Stafford, Humble...
University Health-San Antonio-
and monitor performance. Provides operational support through research, data collection and analysis of information to identify areas for improving productivity, cost savings, utilization management, provider and member satisfaction, and market share...
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JobAdX-St Louis-
preferred.
• Care Management or Utilization Management experience, preferred
Licensure:
• Current License in the state of employment, required
Certifications:
• BLS (CPR) at hire date, required, or within 90 days of hire
• Certification in Case Management...
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Guidehouse-Mclean (TX)-
in healthcare delivery, clinical documentation, utilization management, medical necessity review, clinical operations, and patient care pathways. In this role, you will help evaluate how healthcare services are delivered, documented, reviewed...
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Mercy-St Louis-
date, or within 90 days (about 3 months) of hire.
Preferred Certification: Certification in Case Management preferred.
Preferred Experience: 2 years acute care hospital setting preferred. Care Management or Utilization Management experience preferred...
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Dell Medical School-Austin-
practices.
• Contributes to quality improvement and quality assurance initiatives related to patient outcomes, utilization management, and case management practices.
REQUIRED QUALIFICATIONS:
• Bachelor's Degree in Nursing (BSN) from an accredited program...
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Mercy-St Louis-
setting, preferred.
• Care Management or Utilization Management experience, preferred
Licensure:
• Current License in the state of employment, required
Certifications:
• BLS (CPR) at hire date, required, or within 90 days of hire...
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Mercy-St Louis-
date, or within 90 days (about 3 months) of hire.
Preferred Certification: Certification in Case Management preferred.
Preferred Experience: 2 years acute care hospital setting preferred. Care Management or Utilization Management experience preferred...
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Mercy-St Louis-
safety, and financial components; promoting integration of a seamless care model; coordinating patient discharge planning for post-acute services, length of stay (LOS) management and utilization management; collaborating to include coordination...
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Houston Methodist Cypress Hospital-Cypress (TX)-
preferred
EXPERIENCE
• Four years of experience in clinical care activities in a hospital setting
• Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred
• Two years of leadership experience...
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Randstad-Austin-randstadusa.com-
as needed. Partner and communicate effectively with Utilization Management (UM) and claims departments. Consistently meet established daily case-review productivity targets while maintaining a monthly quality average of 95% or higher.
Actively participate...
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SSM Health-St Louis-
to next level of care.
• Participates with other members of team regarding opportunities for improvement in standard work.
• May also be responsible for: utilization management process, ED case management process, admission process, and act as a case...
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McKesson-Irving-
pharmacy for Commercial lines of business, pharmacy adjudication processes, formulary design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market...
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4 similar jobs: Alpharetta, Atlanta, Leawood, Columbus
MCKESSON-Irving-
design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market access strategies
• Demonstrated success in client facing role(s) or public...
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