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Utilization Management Jobs In Progreso Lakes, Texas - 141 Job Positions Available

1 – 20 of 141 jobs

Fiesta Management Parts Manager The Fiesta Management Parts Manager is responsible for running a profitable and efficient parts department. S/he will accomplish objectives through the use of proper purchasing procedures, inventory control, staff utilization, security, pricing, merchandising, displaying, and

Bert Ogden Auto Group  26 days ago

Job Duties The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the

Treasury Department  22 hours ago

Billing And Collections Specialist Ii - Ft - Days - Denials Management DHR Health - US:TX:Edinburg - Days Summary: FLSA STATUS: Exempt Non-Exempt MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with

RENAISSANCE MEDICAL FOUNDATION  22 hours ago

Strategic Leader for Workforce Management, Quality Assurance, and Operational Analytics A leading organization in the health insurance industry is seeking a strategic leader to oversee Workforce Management, Quality Assurance, and Operational Analytics for its customer service operations, including

Temporary Professional Integrated Services  1 day ago
Acadia Healthcare jobs

Utilization Management Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential Functions: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of

Acadia Healthcare  22 hours ago
Prime Healthcare jobs

Human Resources Director Harlingen Medical Center | Full-Time | Exempt | Onsite Leadership Role The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Responsibilities Provides

Prime Healthcare  3 days ago
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RN Transitional Care Navigator - FT - Days - Transitional Care Management DHR Health - US:TX:Edinburg - Days Summary: Responsible for identifying and assessing high risk patients upon admission, providing inpatient education and transitional care navigation service

RENAISSANCE MEDICAL FOUNDATION  1 day ago
Chico’s FAS, Inc. jobs

With approximately 1,300 boutiques and outlets throughout the U.S., as well as an online presence for each of our brands, it takes sophisticated technology, resources and infrastructure to ensure the continued success of our businesses. From

Chico’s FAS, Inc.  21 days ago
Gadsden Elementary School District #32 jobs

Elementary Teacher Purpose Statement The job of Elementary Teacher is done for the purpose/s of providing support to the instructional process by serving as a teacher with specific responsibility for supervising students within the classroom and

Gadsden Elementary School District #32  14 days ago
Gadsden Elementary School District #32 jobs

Elementary Teacher Purpose Statement The job of Elementary Teacher is done for the purpose/s of providing support to the instructional process by serving as a teacher with specific responsibility for supervising students within the classroom and

Gadsden Elementary School District #32  14 days ago
Mortenson jobs

SUMMARY Mortenson is currently seeking an experienced MEP Superintendent I & II to review, provide analysis, management, and resolution of field coordination issues with project team members and participants. Excellent communication skills are necessary as you will

Mortenson  10 days ago
Mortenson jobs

SUMMARY Mortenson is currently seeking a Senior MEP Superintendent I that will provide overall direction and leadership on a Mechanical, Electrical, and Plumbing (MEP) dominant project or for MEP scopes of work on medium to large

Mortenson  1 day ago
Chico’s FAS, Inc. jobs

Join our fashion-obsessed team, dedicated to a styling and social experience that makes women feel beautiful. POSITION OBJECTIVE: The Sales Lead is responsible for supporting Management in in promoting a customer and product-focused sales culture, where our

Chico’s FAS, Inc.  11 hours ago
Teamwork Online jobs

F&B Manager Legends Global is the premier partner to the worlds greatest live events, venues, and brands. We deliver a fully integrated solution of premium services that keeps our partners front and center through our white-label

Teamwork Online  30 days ago
Humana jobs

Clinical Care Nurse (RN) The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and

Humana  30 days ago

Health Care Professional (HP3) The Health Care Professional (HP3) conducts utilization reviews and/or telephone customer care; problem resolution, follow-up, and other related services for patients and members. This key individual focuses on member engagement, education, and empowerment,

APS Health Care PR  30 days ago
Wellington Regional Medical Center jobs

Texas CDI Market Manager The Texas CDI Market Manager manages the Physician & Clinical Documentation Integrity (PDI/CDI) team for the Texas Market (STHS, DHL, FDRMC, NWT, TMC). Responsible for managing the day-to-day operations of PDI/CDI including

Wellington Regional Medical Center  28 days ago
Texas State Technical College jobs

Job Title Are you someone who strives for excellence, values accountability, provides the best service, all while reflecting unwavering integrity? Our talented team members across the state follow the behaviors, beliefs and outcomes of these core

Texas State Technical College  27 days ago
Journeys jobs

Sales Lead Location: Harlingen, TX (Valle Vista Mall # F-4) Journeys is a teen retail leader with an emphasis on footwear and unique specialty items including apparel, backpacks, hats and accessories. With more than 800 stores

Journeys  27 days ago

Pharmacy Clinical & Quality Programs VP Regular Exempt General Description: Responsible for leading the strategic design, execution, and oversight of all clinical and quality programs within the Pharmacy Department. These programs include Medication Therapy Management (MTM), Drug

MCS Healthcare Holdings, LLC  27 days ago

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