- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- HCA Healthcare (Dallas, TX)
- …corporate level. + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation ... educational training and development for the more than 3,000 case manager , RNs, and social workers involved...Lead centralized case management function, including Clinical Case Management, Utilization Review Services,… more
- Ross Stores, Inc. (Dallas, TX)
- …PURPOSE:** **Ross is always looking for qualified talent for our Area Loss Prevention Manager roles across the Nation, to express your interest please apply to this ... for a particular job function\.** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of...etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop… more
- Methodist Health System (Dallas, TX)
- …Day (United States of America) **Job Description :** The CBO Project Manager of Performance Improvement (PMPI) is responsible for measuring performance goals, ... role will assist in measuring CBO quality and productivity and proactively review trends and variances that delay reimbursement. This position will support strategic… more
- Amazon (Dallas, TX)
- …leading examples of innovation in the areas of security, safety, space utilization , efficiency, and cost effectiveness. We are the global team responsible for ... known for changing the face of cloud computing. As a Construction Estimating Manager , you will be responsible for developing and maintaining the cost database, while… more
- IBM (Dallas, TX)
- …vended spend Additional KPIs related to Scorecarding/OKRs, Effective Technology Asset Utilization and Project Optima will be identified between the selected ... candidate and their direct Manager . Primary responsibilities for this role include the following:...staging and spare-parts inventory, * Enhancing cloud technology asset utilization , and streamlining internal IBM Cloud processes, such as… more
- Elevance Health (Grand Prairie, TX)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... + Extensive orthopedic surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. For candidates working… more
- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- HUB International (Dallas, TX)
- … case status with Producer, Employee Benefit Specialist(s), Account Manager (s), Administrative Assistant(s) and Clients. + Prepare detailed analysis of bids ... have working knowledge of all lines of Group Benefits products in order to review and prepare proposals. + Maintain current and accurate prospect, client, and vendor… more
- Home Care Providers of Texas (Desoto, TX)
- …progress. Review evaluation with the care team, patient, family members, physician, and case manager as needed. + Performs PRN visits, and available on call ... as required (about every 3-4 weeks). + Other duties as assigned. Requirements: + Geriatric Home Health Experience + Texas Nursing License + Strong organizational and self-management skills + Strong and compassionate customer service skills + Valid driver's… more