• Utilization management Clinician

    CVS Health (Austin, TX)
    …such as ambulatory care or outpatient program + Managed care and utilization review experience preferred. + Crisis intervention skills preferred. **Education** ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (03/15/25)
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  • Care Review Clinician , PA (RN)…

    Molina Healthcare (Austin, TX)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
    Molina Healthcare (03/07/25)
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  • Divisional Director of Care Management, Strategy…

    CenterWell (Austin, TX)
    …consistent and standardized program workflows, dyad communication/partnership, and quarterly business review of acute care and post-acute care utilization . + ... and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with...credible leader with deep understanding and empathy for the clinician and patient pain points in day-to-day panel management… more
    CenterWell (03/08/25)
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