• Utilization Management

    CVS Health (Austin, TX)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+ years post… more
    CVS Health (05/23/24)
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  • Clinician /Senior Clinician - Dunn…

    UT Health (Houston, TX)
    Clinician /Senior Clinician - Dunn Behavioral Sciences Center/HCPC at UTHealth Houston **Location:** Houston, Texas **Hot** **Category:** Clinical ... Professionals UTHealth Houston Behavioral Sciences Campus Requisition #: 240001KT **What we do...needs of the area. **Position Summary:** Provides professional case management and clinical therapeutic services in an acute care… more
    UT Health (05/30/24)
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  • Care Review Clinician , Prior Auth - TX…

    Molina Healthcare (Dallas, TX)
    …3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active, ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (06/07/24)
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  • Registered Nurse I (RN) PRN Behavioral

    Houston Methodist (Houston, TX)
    …Registered Nurse (RN) PRN position is a licensed staff nurse, an experienced clinician , functions at the Competent to Proficient stage of Benner's model of clinical ... to service line or hospital-wide initiatives in partnership with management . **PEOPLE ESSENTIAL FUNCTIONS** + Uses therapeutic communication, which includes… more
    Houston Methodist (06/11/24)
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  • Employee Assistance Programs (EAP) Account…

    UT Health (Houston, TX)
    …Account Representative with a strong mental health assessment, counseling, and crisis management experience and who is interested in expanding your experience into ... accounts for consultation mandatory referrals, as well as providing on-site training, utilization reporting, and service recovery. This person will focus on the… more
    UT Health (05/20/24)
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  • Chief, Pediatric Cardiology and Executive…

    UT Health (Houston, TX)
    …needs are met. + Participates in or delegates participation in practice management activities to optimize scheduling, clinical workflow, utilization of allied ... needs are met. + Participates in or delegates participation in practice management activities to optimize scheduling, clinical workflow, utilization of allied… more
    UT Health (05/31/24)
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