- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - ... Details: Monday - Friday 8:00am to 4:30pm Job Description: Duties/Responsibilities: + Utilization Management supporting medical necessity and denial prevention +… more
- Methodist Health System (Dallas, TX)
- …assessment of anticipated impact of external regulations and cost-containment efforts related to Utilization Review, Case Management . * Attains all agreed to ... implementing and supervising the day-to-day operation of the Care Management and Utilization Management Programs...of Federal, State and regulatory requirements in quality assessment, case management , resource management , hospital… more
- Wolters Kluwer (Dallas, TX)
- …Group (*/dxg), a Division of Wolters Kluwer, is searching for an **Associate Director , Technology Project/Program Management ,** reporting into the Director , ... to help businesses better manage their practices and processes. This includes utilization of project management methodologies and tools for managing the… more
- Bayer (Dallas, TX)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director , Regional Marketing - Oncology - North and South Texas** **Associate ... Director Regional Marketing - Oncology - North and South...responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication… more
- Molina Healthcare (Dallas, TX)
- …across Molina Health Plans & Segments. **KNOWLEDGE/SKILLS/ABILITIES** + Review existing case management standards and processes and establishes new standards ... to drive clinical excellence and quality results across the enterprise. + Identifies case management best practices and capabilities across all plans and Lines… more
- Molina Healthcare (Dallas, TX)
- …Active, unrestricted State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care ... gaps and barriers in implementation and compliance to AVP, VP and senior management . + Consultative role, develops business case methodologies for programs,… more
- HCA Healthcare (Mckinney, TX)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management + You ... will consult with facility-level staff regarding delegated utilization management and disease management ...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services… more
- Cushman & Wakefield (Frisco, TX)
- …IT, Real Estate and management on all moves + Track vacancy and utilization metrics within office + In the absence of an Administrator role within the office, ... efficient and effective manner. The Operations Manager will provide management oversight for of the building, teammate needs and...own office. They will work closely with the Managing Director within the Critical Solutions Group to provide support… more