- Texas Health Resources (Arlington, TX)
- Director Utilization Management - Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- Molina Healthcare (Fort Worth, TX)
- …of technology that drives core utilization management , care management , long-term services and supports (LTSS), clinical operations and business ... least 3 years management /leadership experience in a clinical leadership, clinical systems and/or informatics, utilization management , or care … more
- Elevance Health (Grand Prairie, TX)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... to clients/ members. The medical director provides clinical expertise in all aspects of utilization ...for case management /complex clinical management . + Peer-to-peer outreach for both utilization … more
- HCA Healthcare (Fort Worth, TX)
- …related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all ... a part of our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and coordinating… more
- Molina Healthcare (Fort Worth, TX)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality...analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory,… more
- Molina Healthcare (Fort Worth, TX)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality...analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory,… more
- Molina Healthcare (Fort Worth, TX)
- …EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization /Quality Program Management ... Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ...psychiatric diagnoses and treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports… more
- CenterWell (Fort Worth, TX)
- …to adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader...clinical leader of our primary care team, combining clinical practice with leadership and operational management … more
- CenterWell (Arlington, TX)
- …to adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader...clinical leader of our primary care team, combining clinical practice with leadership and operational management … more
- Molina Healthcare (Fort Worth, TX)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Elevance Health (Grand Prairie, TX)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the...This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The… more
- Elevance Health (Grand Prairie, TX)
- ** Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management / Utilization ** ... granted as required by law._ The ** Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Molina Healthcare (Fort Worth, TX)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... medical policy/procedure development, and provider contracting experience + Current clinical knowledge + Experience demonstrating strong management and… more
- Elevance Health (Fort Worth, TX)
- …such as Med/Surg, Critical Care, ER, Telemetry, etc. strongly preferred. + Utilization management /review within managed care or hospital strongly preferred. + ... RN - Utilization / Medical Management Nurse /... experience and requires a minimum of 2 years clinical , utilization review, or managed care experience;… more
- AdventHealth (Burleson, TX)
- …Nurse Manager is a specialized health care professional who reports to the department Director and collaborates with the Director and other leaders to provide ... of selected patient populations across the continuum of illness; promoting effective utilization of and monitors health care resources; and assumes a leadership role… more