- CVS Health (Austin, TX)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
- HCA Healthcare (Dallas, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Director Case Management today with Medical City Dallas. **Benefits** Medical ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** Come join our team as a(an) Director Case Management . We care… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social ... the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys...a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and… more
- HCA Healthcare (Mckinney, TX)
- …+ The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by ... manage in a new era as a Manager of Case Management where building a healthier tomorrow...a healthier tomorrow is more than a job? Our Medical City McKinney team is committed to partnership, innovation,… more
- HCA Healthcare (El Paso, TX)
- …discussing additional documentation needs as identified or discharge plans, and confer with the Case Management Director and Physician Advisor as needed for ... who care without reservations or limits? Our Las Palmas Medical Center team is looking for a(an) Manager of Case Management RN. HCA Healthcare is an advanced… more
- Magellan Health Services (Dallas, TX)
- …assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows high risk ... Clinical Center of Excellence. + Provides clinical leadership to the interdisciplinary Medical Management team, which includes clinical/ medical oversight of… more
- HCA Healthcare (Dallas, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a Supervisor Case Management RN to join our healthcare family. **Benefits** Medical ... passion for patient care. Apply today for our Supervisor Case Management RN opportunity. **Job Summary and...and systems. + Actively monitors training of all new Case Managers. Assists the Manager and Director … more
- HCA Healthcare (Lewisville, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Supervisor Case Management RN position and spend more time at the ... deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your...management or transfer centers. Unlock your potential at Medical City Lewisville! **Job Summary and Qualifications** As a… more
- Humana (Austin, TX)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Austin, TX)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Austin, TX)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Guidehouse (Austin, TX)
- …**:** Up to 25% **Clearance Required** **:** None **What You Will Do:** + The Management Consulting Associate Director and Director in Guidehouse's State and ... and 10+ years minimum of experience for the Director in management consulting with at least...the following areas: business process redesign, HR consulting, business case development, IT strategy and implementation + Management… more
- Evolent Health (Austin, TX)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member 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 ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...daily, weekly and monthly reports as assigned by the Director of Case Management . Experience… more
- J&J Family of Companies (Austin, TX)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Highmark Health (Austin, TX)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- Merck (Austin, TX)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… more
- Evolent Health (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
- House of Blues (Houston, TX)
- …these qualities, so if this sounds like you then please read on! THE ROLE The Director of Risk Management is a key member of the Corporate Risk Management ... you'll be reporting to the head of Corporate Risk Management and will provide key oversight of the corporate...Our Own' through 6 pillars of benefits: + HEALTH: Medical , Vision and Dental benefits for you and your… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...experience post-training providing clinical services + Experience in utilization management review and case management … more