Jobs near Houston: 4,386
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Relevance Score ranked on: MEDICAL DIRECTOR
Behavioral Health Medical Director
Houston
The Behavioral Health Medical Director position is responsible for providing clinical guidance and consultation to the Behavioral Health Service Coordination and Utilization Management/ Appeals Teams. They will facilitate integrated BH Rounds and interact directly with Psychiatrists, Behavioral Healt...
Search Terms: Behavioral Health, Medical Director, Director, Behavioral, Health
89.6
0mi
Updated: September 20
Medical Director
Houston
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: - Medicaid State of Texas Ac...
Search Terms: Medical Director, Director, Medical, Health, Healthcare
89
0mi
Updated: September 13
Util Mgmt (UM) Nurse RN
Houston
The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform and initiate the approval process for requested services/treatments utilizing nationally recognized ev...
Search Terms: RN, Medical Director, Nurse, Healthcare, Clinical
79.9
4.9mi
Updated: September 10
Utilization Management Clinical RN
Bellaire
We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic and/or concu...
Search Terms: Clinical, RN, Management, Medical Director, Clinic
79.3
1.1mi
Updated: September 22
Util Mgmt (UM) Nurse RN
Houston
The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform and initiate the approval process for requested services/treatments utilizing nationally recognized ev...
Search Terms: RN, Medical Director, Nurse, Healthcare, Clinical
79
4.9mi
Updated: August 21
Sup of State Fair Hear App & G
Houston
Under the direction of VP of Medical Affairs and Sr. Manager of Appeals and Grievances this position includes the planning, coordination, organization and direction of the Star Plus LTSS appeal and State Fair Hearing and EMR/ IRO activities of Community Health Choice while abiding by all regulatory r...
Search Terms: Medical Director, Care Coordinator, Healthcare, Staff, Experience
79
0mi
Updated: September 19
BH Case Manager
Houston
Perform duties related to the day-to-day operations of the Behavioral Health Team. Case Management works with high risk Members to help identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assessed Members current functional leve...
Search Terms: Case Manager, Behavioral Health, Manager, Medical Director, Operations
79
0mi
Updated: September 19
StarPlus State Fair Hrng/EMR C
Houston
Under the supervision of STAR PLUS Supervisor of State Fair Hearing Appeals and Grievance will review SFH/ EMR request and collaborate with STAR PLUS Service Coordinator to ensure all The STAR PLUS STATE FAIR HEARING/ EMR COORDINATOR will attend any mandated HHSC trainings. JOB SPECIFICATIONS Essenti...
Search Terms: Medical Director, Appeals, Care Coordinator, Management, Healthcare
79
0mi
Updated: September 19
Complex Case Manager
Houston
The Complex Case Manager (CCM) will identify, monitor, manage, and evaluate the delivery of health services to Community members with chronic, medically complex or catastrophic conditions in both acute and non-acute settings. The CCM will coordinate the care of a member with the involvement of the me...
Search Terms: Case Manager, Manager, Medical Director, Healthcare, Clinical
78.5
4.9mi
Updated: October 01
Complex Case Manager
Houston
The Complex Case Manager (CCM) will identify, monitor, manage, and evaluate the delivery of health services to Community members with chronic, medically complex or catastrophic conditions in both acute and non-acute settings. The CCM will coordinate the care of a member with the involvement of the me...
Search Terms: Case Manager, Manager, Medical Director, Healthcare, Clinical
78.5
4.9mi
Updated: October 01
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