- Baylor Scott & White Health (Dallas, TX)
- …+ Experience working with Substance use treatment experience and/or behavioral health treatment + Experience with Utilization Management for Substance use ... vary based on position type and/or level **Job Summary** Utilization Review Specialist conducts reviews and shares...quality. **Essential Functions of the Role** + Process all Behavioral Health and Substance Use Disorder authorizations… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members… more
- CVS Health (Dallas, TX)
- …judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will ... and company policies and procedures. **Required Qualifications** - 2+ years of experience in behavioral health or social services required - A minimum of a… more
- CVS Health (Dallas, TX)
- …judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. + The care manager ... policies and procedures. **Required Qualifications** + 2+ years of experience in behavioral health or social services + Must possess reliable transportation… more
- Elevance Health (Grand Prairie, TX)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
- Methodist Health System (Richardson, TX)
- …Richardson Medical Center - Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute ... supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers...Nurse license required * 1 year of experience in health related setting * 1 year of hospital case… more
- CenterWell (Dallas, TX)
- …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- Baylor Scott & White Health (Fort Worth, TX)
- …+ Calculates accurate patient financial responsibility. + Communicates promptly with Utilization Review . Partners effectively with physician and facility staff. ... + Maintain a professional demeanor in stressful and emotional environments. Handle behavioral health and suffering patients, as well as life or death situations.… more
- Baylor Scott & White Health (Dallas, TX)
- …+ Calculates accurate patient financial responsibility. + Communicates timely with Utilization Review , and collaborates effectively with physician and facility ... to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death… more
- Baylor Scott & White Health (Dallas, TX)
- …needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review , and collaborates effectively with physician and ... to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
- HCA Healthcare (Fort Worth, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Medical City Fort Worth, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...HBP services in their respective Division to ensure maximum utilization of pathology resources and the efficient delivery of… more
- HCA Healthcare (Mckinney, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +...Additionally, a Level II neonatal intensive care unit and behavioral health services. Medical City McKinney is… more
- HCA Healthcare (Fort Worth, TX)
- …interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services** + **Performs utilization review as ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (North Richland Hills, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... Hills, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...will coordinate scheduling of CT Scans for maximum equipment utilization . Staff will be available for emergency call-back after… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Office, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical… more
- HCA Healthcare (Dallas, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... **Benefits** Medical City Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Frisco, TX)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... Frisco, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more