- 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)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… 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
- Molina Healthcare (Dallas, TX)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… 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
- 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
- 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 (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 (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 (Mckinney, 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 ... Center, 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
- 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
- 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 ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...with multiple enterprise teams such as Case Management, Corporate Utilization Review Services (URS) team, Pre-bill Denial… more