Job Description Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Lackland AFB in San Antonio, TX. This contract position offers: Monday-Friday 730am-430pm Outpatient Clinic No Nights, Weekend or Holidays No On-Call Stable
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
POSITION SUMMARY/RESPONSIBILITIES Provides strategic leadership for Utilization Management programs and initiatives. Responsible for accreditation readiness, regulatory compliance oversight, performance improvement planning, delegated oversight, operational governance, and implementation of organizational UM strategies. Serves as a liaison between operational leadership,
POSITION SUMMARY/RESPONSIBILITIES This position provides clinical leadership and oversight of the population health management program including utilization management, case management, preventive health/disease management, and quality management while supporting the multidisciplinary member-centric approach to care management. Actively participates with staff across the organization –
Utilization Management Representative II Location: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. This
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians
Director Of Utilization Management The Director is responsible for the coordination and management of a full-service Utilization Management program to service the TDCJ, TJJD and other contracted inmate populations. The mission of Correctional Managed Care is to address the healthcare needs
Explore Opportunities with Kelsey-Seybold Clinic Work with one of the nations leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule: Monday Friday | 8:00 AM 5:00 PM | 2440 hours per week Interview Process: Virtual interview via camera Dress Code: Business Casual Pay Rate: 13/hr (Paid Weekly)
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians
Utilization Management Coordinator PRN With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible
Utilization Management Senior Manager Community First Health Plans...
Medical Director, Utilization Management Community First Health Plans...
Utilization Management Review Nurse (UMRN) The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency of the utilization of medical services procedures and facilities. This role supports the health system by utilizing
Utilization Management Specialist I SUN Behavioral Houston - Houston, Texas 77054 Overview Position Type PRN Job Shift Days Education Level High School/GED Travel Percentage None Category Health Care Description Come join SUN Behavioral Houston, where our mission is
Senior Manager, Utilization Management Were building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, youll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold
Company Description As the world’s leading vendor of Cyber Security, facing the most sophisticated threats and attacks, we’ve assembled a global team of the most driven, creative, and innovative people. At Check Point, our employees are
Make banking a Fifth Third better® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: Serves as the trusted