- 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
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
- UTMB Health (Webster, TX)
- …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
- Houston Methodist (The Woodlands, TX)
- …promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to ... At Houston Methodist, the Director Case Mgmt Social Svcs position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
- HCA Healthcare (Pasadena, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At HCA Houston Healthcare Southeast, you come first. ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- United Therapeutics (Austin, TX)
- …pulmonary diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management ... processing for commercial UT products, including PM GSD workflows; Maintain unified PM Case Management operating procedures and monitor systems to ensure all PM… more
- Houston Methodist (Baytown, TX)
- …Medical Claims Review, Precertification and Reconsiderations and Appeals. Collaborates with the Director of Case Management /Social Svcs on criteria and ... + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or in the… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- HCA Healthcare (Austin, TX)
- …The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care ... supporting a balance of optimal care and appropriate resource utilization . + You will serve as a role model...daily, weekly, and monthly reports as assigned by the Director of Case Management . +… 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
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Humana (Austin, TX)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- HCA Healthcare (El Paso, TX)
- …The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care ... supporting a balance of optimal care and appropriate resource utilization . Essential Functions: + Serves as a role model...daily, weekly and monthly reports as assigned by the Director of Case Management . Experience… more
- HCA Healthcare (Houston, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) Case Management Supervisor RN to join our healthcare family. **Benefits** Texas ... - and empowers their passion for patient care. Apply today for our Case Management Supervisor RN opportunity. **Job Summary and Qualifications** The Supervisor… 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
- HCA Healthcare (Live Oak, TX)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... of 3 years clinical experience in area in which Case Management will be performed. + Prefer...one year experience in utilization review, resource management , discharge planning or case management… more
- HCA Healthcare (San Antonio, TX)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... of 3 years clinical experience in area in which Case Management will be performed. + Prefer...one year experience in utilization review, resource management , discharge planning or case management… more
- Select Medical (Temple, TX)
- …Temple** **725 Marlandwood Rd, Temple, TX, 76502** ** Director of Quality Management ** **(DQM)** ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/315796/ director -of-quality- management inpatient-rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- CVS Health (Austin, TX)
- …organization-wide business functions including claims, member services, compliance, quality, utilization management , and network/provider services. + Serve as ... unencumbered license and experienced in the activities of Care Management . + Nationally recognized case management certification, or ability to obtain within… more
- J&J Family of Companies (Austin, TX)
- Johnson & Johnson is recruiting for an Associate Director , Thought Leader Liaison, Neurology Rare Disease to support the Mountain Region. This is a field-based ... reach their potential. At Johnson & Johnson, we all belong. The Associate Director Thought Leader Liaison's (TLL) key primary responsibility is to support US… more