Utilization Management Jobs in Spring, TX (NOW HIRING)

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...

Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...

The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...

The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...

The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...

The Utilization Review Coordinator will review clinical content of medical record, participate in ... Crisis management certification per hospital policy and standards required. * Experience: One to ...

Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...

This includes coordinating and monitoring utilization management, planning and coordinating the transition of patients through the continuum of care, and maintaining appropriate communication with ...

This includes coordinating and monitoring utilization management, planning and coordinating the transition of patients through the continuum of care, and maintaining appropriate communication with ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...

Remote Clinical Pharmacist - Utilization Management We are seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity. You will be responsible for reviewing utilization ...

Remote Clinical Pharmacist - Utilization Management We are seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity. You will be responsible for reviewing utilization ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Participates in interdepartmental groups to represent case management needs in different aspects of our Health Plan, including but not limited to utilization management, provider relations ...

Participates in interdepartmental groups to represent case management needs in different aspects of our Health Plan, including but not limited to utilization management, provider relations ...

Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in ...

The Director oversees implementation of case management and utilization functions, while serving as a clinical leader and resource for Behavioral Health. As a Director, Behavioral Health you will ...

Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...