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Utilization Manager Jobs in Houston

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Search Results - Utilization Manager Jobs in Houston
Houston Methodist Hospital-Houston
rules and regulations; collaboration and relationships with payers; physician practice patterns; documentation and over- and under-utilization of resources. The Physician is a key member and leader of the hospital's utilization review/management...
Houston Methodist-Houston
and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.  •  Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews...
mindmatch.ai -
Houston Methodist Specialty Physician Group-Houston
of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.  •  Understanding of pre-acute and post-acute venues of care and post-acute community resources  •  Ability to work independently  •  Strong...
Houston Methodist Willowbrook Hospital-Houston
Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs  •  Progressive knowledge of discharge planning, utilization management, case management, performance...
mindmatch.ai -
Houston Methodist-Houston
and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.  •  Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews...
Houston Methodist Specialty Physician Group-Houston
of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.  •  Understanding of pre-acute and post-acute venues of care and post-acute community resources  •  Ability to work independently  •  Strong...
mindmatch.ai -
Houston Methodist-Houston
and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.  •  Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews...
Houston Methodist Hospital-Houston
Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs  •  Progressive knowledge of discharge planning, utilization management, case management, performance...
mindmatch.ai -
Houston
and industry, plans, case management, utilization management, vendors, special interest groups, professional organizations  •  Knowledge and application of clinical, non-clinical and business measurement  •  Proven track record of successfully developing...
icims.com -
River Region Psychiatry Associates-Houston
Staff Psychiatrist The Staff Psychiatrist is responsible for the evaluation and management of assigned patients. This includes coordinating and monitoring utilization management, planning and coordinating the transition of patients through...
doccafe.com -
Houston
for evaluating and managing assigned patients. This includes coordinating and monitoring utilization management, planning and coordinating the transition of patients through the continuum of care and maintaining appropriate communication with required agencies...
tiptopjob.com -
Houston Methodist-Houston
and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.  •  Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews...
mindmatch.ai -
Houston
and organizations  •  Experience interacting with clients in the healthcare industry  •  Experience in utilization management and prior authorization  •  Track record of leadership of teams and projects spanning people, process, and technology  •  Experience managing...
tiptopjob.com -
ChenMed-Houston
utilization management and home-based services for the market.  •  Performs other related duties as assigned and modified at manager’s discretion. ORGANIZATIONAL RELATIONSHIPS:  •  Reports to: to Associate Chief Medical Officer or Chief Medical Officer...

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