• Director Case Management

    HCA Healthcare (Austin, TX)
    …Do you want to join an organization that invests in you as a(an) Director Case Management ? At St. David's Medical Center, you come first. HCA Healthcare ... over the course of three years. **Benefits** St. David's Medical Center, offers a total rewards package that supports...make a difference. We are looking for a dedicated Director Case Management like you… more
    HCA Healthcare (11/06/24)
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  • Director Case Management

    HCA Healthcare (Georgetown, TX)
    …position is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director Case Management you want with your current employer? ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...of colleagues. Do you want to work as a(an) Director Case Management where your… more
    HCA Healthcare (11/06/24)
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  • Medical Director --Claims…

    Humana (Austin, TX)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (10/29/24)
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  • Medical Director - Mid West Region

    Humana (Austin, TX)
    medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management more
    Humana (10/29/24)
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  • Medical Director - Behavioral Health…

    CVS Health (Austin, TX)
    …coordination with physical health care management . - Participation in HHS medical director and behavioral health MCO stakeholder meetings and other ... utilization management * Leadership and participation in case management programs for mental health and...Medical Officer, other Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management more
    CVS Health (08/27/24)
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  • Medical Director - Home Health…

    Humana (Austin, TX)
    …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical more
    Humana (11/06/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Austin, TX)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
    Highmark Health (09/24/24)
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  • Medical Director - Commercial…

    CVS Health (Austin, TX)
    …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical more
    CVS Health (11/13/24)
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  • Director Care Management

    Ascension Health (Austin, TX)
    **Details** + **Department:** Case Management + **Schedule:** Full Time, Monday - Friday + **Hospital:** Seton Medical Center Austin + **Location:** Austin, ... Formulate and implement operational strategies and initiatives in the case management program. + Direct and evaluate...Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell… more
    Ascension Health (10/31/24)
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  • Seasonal Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... qualifications you will need:** + 2+ years' experience in case management in hospital setting required +...law and regulation + Certification in Case Management - preferred St. David's South Austin Medical more
    HCA Healthcare (10/11/24)
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  • Medical Director - Spine

    CVS Health (Austin, TX)
    …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business… more
    CVS Health (11/15/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... the agenda of unparalleled patient service. **Experience** + **1+ years' experience in case management ** **Education** + **Associate Degree in Nursing or Nursing… more
    HCA Healthcare (09/14/24)
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  • Medical Director - National Accounts

    CVS Health (Austin, TX)
    …based (work from home) role and can be based anywhere in the US.** In the Medical Director role you will provide oversight for medical policy implementation. ... evaluation of clinical/ medical programs and expand Aetna's medical management programs to address member needs...In addition you will oversee utilization review/quality assurance, directing case management In this role you'll provide… more
    CVS Health (11/08/24)
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  • Medical Director - (Ortho/Total…

    CVS Health (Austin, TX)
    …**This is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a ... direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
    CVS Health (11/13/24)
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  • Medical Director

    Highmark Health (Austin, TX)
    …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
    Highmark Health (11/16/24)
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  • Director Care Management - Aetna…

    CVS Health (Austin, TX)
    …solutions. + Knowledge of the regulations, standards, and policies which relate to medical management . Ability to communicate in a highly effective manner with ... unencumbered license and experienced in the activities of Care Management . + Nationally recognized case management...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
    CVS Health (10/20/24)
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  • Associate Director , Strategic Sourcing,…

    Sumitomo Pharma (Austin, TX)
    …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
    Sumitomo Pharma (09/20/24)
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  • Texas Public Sector Director

    CGI Technologies and Solutions, Inc. (Austin, TX)
    **Texas Public Sector Director ** **Category:** Leadership and Management Roles **Main location:** United States, Texas, Austin **Position ID:** J1024-0157 ... our mission for strengthening the communities we call home. Working as a Director , Consulting Services (DCS), you will have senior responsibility to help our… more
    CGI Technologies and Solutions, Inc. (10/04/24)
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  • Regional Sales Director - Southern…

    Trustmark (Austin, TX)
    …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
    Trustmark (09/22/24)
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  • Director , Internal Controls

    Global Foundries (Austin, TX)
    …their markets. For more information, visit www.gf.com. Summary of Role: The Director of Internal Controls has global responsibility for GF's internal control ... ensure appropriate control activities are in place and operating to support management 's assertions underlying GF's internal control environment. + Maximize use of… more
    Global Foundries (10/10/24)
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