- Cordis (Fort Worth, TX)
- …product portfolio within a defined territory, with a strong focus on procedural case coverage. Working in close partnership with the Territory Manager and reporting ... to the Regional Sales Director , the position plays a key role in driving...all staff (including Physicians, Mid-Level providers, nurses, techs, and management ). + Complete training and obtaincertification for full suite… more
- HCA Healthcare (Fort Worth, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Alliance, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… 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 ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- BrightSpring Health Services (Fort Worth, TX)
- Our Company Rehab Without Walls Neuro Rehabilitation Overview Rehab Without Walls is hiring a Director of Clinical Management in Irving, TX! Make an impact as a ... program efficiency + Supervises the licensed clinical staff including management of cases, staff assignments, case problems,...certification as required by the state in which the Director of Clinical Management practices + Demonstrates… more
- 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 for ... will be ad hoc and required meetings onsite throughout the year. Summary The Director will be the department leader for system services for wholly owned and Partner… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** **Virtual:** ... is granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Elevance Health (Grand Prairie, TX)
- **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The **Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- CenterWell (Fort Worth, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with...are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more
- CenterWell (Arlington, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with...precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental… more
- Molina Healthcare (Fort Worth, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… 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...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- O'Neal Industries, Inc. (Grand Prairie, TX)
- Description O'Neal Steel is currently seeking a Regional Sales Director for our Western Region. The Regional Sales Director is responsible for the commercial ... teams and is a senior leader within a Regional Management Team. Essential Duties and Responsibilities + Lead and...the division + Lead or participate in developing business case pro-forma for target markets or industries + Initiate… more
- Molina Healthcare (Fort Worth, TX)
- …in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures ... HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous… more
- Molina Healthcare (Fort Worth, TX)
- …leaders to support implementation of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action plans are complete, ... * Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business… more
- Molina Healthcare (Fort Worth, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Molina Healthcare (Fort Worth, TX)
- …Escalates gaps and barriers in implementation and compliance to VP and senior management + Consultative role, develops business case methodologies for programs, ... COEs, Operating Domains, Med Econ, and Finance. Responsible for the Management of internal business projects and programs involving department or cross-functional… more
- Molina Healthcare (Fort Worth, TX)
- …of programs and resolution of escalated issues. + Develop business case methodologies and support implementation of business strategies for VBC initiatives. ... of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and analytics… more
- BrightSpring Health Services (Arlington, TX)
- …services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
- Gentiva (Arlington, TX)
- …Services.** We are seeking a compassionate and experienced Advanced Illness Management (AIM) **Palliative Registered Nurse (PRN)** to join our team. Reporting ... to the Director of Palliative Care, this role provides high-quality palliative...from initial assessment through discharge, addressing functional decline, symptom management , nutrition, cognition, and family/caregiver needs. + Collaborate on… more
