- Evolent (Austin, TX)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Evolent (Austin, TX)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Conviva (Austin, TX)
- …caring community and help us put health first** The UM Administration Coordinator . Provides non-clinical support for the policies and procedures ensuring best and ... service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
- Sunrun (Austin, TX)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Army National Guard Units (Camp Mabry, TX)
- …with NO state income tax. Responsibilities As a Principal Sexual Assault Response Coordinator (TITLE 5) with the Texas National Guard, your duties will include, but ... the state co-chair of the monthly sexual assault Case Management Group (CMG). Serve as the single point of...and develop plans to facilitate the availability and effective utilization of various social science resources. Must have knowledge… more
- Sedgwick (Austin, TX)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Parts Coordinator **PRIMARY PURPOSE** **:** To inspect, identify, and evaluate auto vehicles ... in the field; determines repair versus replace and parts utilization . + Evaluates and determines parts needs based on...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Internal Revenue Service (Austin, TX)
- …entire program. In terms of scope, these studies relate to: terminal utilization , adequacy of written procedures; implementation and need for supplemental procedures ... of PAWS (Program for Automating Work Plans Systems), monitoring WP&C time utilization , updating the Work Scheduling Tool, and creation of action plans. Prescribes… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... have been met, audit for prior authorizations, analyze cost and determine utilization patterns + Resolve complaints and grievances related to the pharmacy network… more
- Jefferson Dental and Orthodontics (Austin, TX)
- …desk duties based on the patient needs and as directed by office management . What You'll Do Provide excellent customer service to patients Present post-exam ... consultations and financial presentations; internal referral process; and supply orders and utilization Who We're Looking For Someone dedicated to going above and… more
- Brookdale Senior Living (Austin, TX)
- …referrals, conversion ratios and reasons for non-admittance as well as utilization of Green, Yellow and Red acceptance criteria. + Keeps Interdisciplinary ... data to prepare weekly and monthly reports. Provides frequent performance information to management . (IF community is larger and there is an Admission Director, the… more
- HCA Healthcare (Austin, TX)
- …Registered Nurse in transplant services + Minimum 3 years' experience in Case Management / Utilization **Education** + Graduate of an accredited school of nursing, ... FC, Austin's first major league team. **The Bone Marrow Transplant Coordinator :** + Monitors patient/family before, during and after transplantation for physical,… more