- 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
- Baylor Scott & White Health (Dallas, TX)
- …the organization, including physician and executive leadership. + Knowledge of discharge planning, case management and utilization review. + Ability to make ... **JOB SUMMARY** The Supervisor Utilization Review RN is accountable for daily oversight...and quality metrics. + Partner with Care Coordination Medical Director on patients not meeting criteria and informs Clinical… 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