- Veterans Affairs, Veterans Health Administration (Austin, TX)
- …the clinical performance of individuals with clinical privileges, drug utilization evaluation, medical records reviews, performance of external services, patient ... evaluation of the primary care programs. Participates in administrative, management , quality assurance, and other requirements activities, meetings, or committees… more
- Veterans Affairs, Veterans Health Administration (Austin, TX)
- …the clinical performance of individuals with clinical privileges, drug utilization evaluation, medical records reviews, performance of external services, patient ... evaluation of the primary care programs. Participates in administrative, management , quality assurance, and other requirements activities, meetings, or committees… more
- Molina Healthcare (Austin, TX)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- Evolent (Austin, TX)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- CVS Health (Austin, TX)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- HCA Healthcare (Austin, TX)
- …CT Department. Monitors and directs all technical functions, which includes efficient utilization of equipment and human resources based upon patient load. Optimizes ... monitor the staff compliance to safety practices; infection control, contrast administration , fall precaution billing and other SAMC policies and guidelines.** +… more