Managed Care Pharmacist

Job Summary We are searching for a Pharmacy Technician - someone who works well in a fast-paced setting. In this position, you will assist the pharmacist with clinical and audit operations at the health plan. This includes calling providers offices or pharmacies, completing data analysis upon request, completing scheduled audits and tracking results, and...

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management...

Patient Care Assistant - PCA Are you looking for a Patient Care Assistant - PCA job that will allow you to give back to your community and broaden your skills? office in Missouri City is the place for you. The office in Missouri City provides caregivers for the local area including Bellaire, Four Corners, Meadows Place, Mission Bend, Chinatown, and many...

Case Manager (Registered Nurse) - South/SE Houston/- The Health PlanJob Summary We are searching for a Case Manager (Registered Nurse) -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...

Job Summary We are searching for an Authorization Specialist - someone who works well in a fast-paced setting. In this position, you'll be responsible for supporting the pre-admission and admission process, ensuring financial authorization for service is obtained and to providing the authorizing entity with clinical information, including diagnosis and...

Job Summary We are searching for an Authorization Specialist - someone who works well in a fast-paced setting. In this position, you'll be responsible for supporting the pre-admission and admission process, ensuring financial authorization for service is obtained and to providing the authorizing entity with clinical information, including diagnosis and...

Job Summary We are searching for a Utilization Management Clinical LVN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and outpatient procedures and services requiring authorization. This process includes clinical judgment, utilization management application, verification...

Case Manager (Registered Nurse) - Behavioral Health - The Health PlanJob Summary We are searching for a Case Manager for Behavioral Health -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...

Job Summary We are searching for a Case Manager (Registered Nurse) - someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides comprehensive ongoing case management services by coordinating and...

Utilization Management Clinical Registered Nurse (RN)Job Summary 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...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary 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...

Utilization Management Clinical Registered Nurse (RN) - The Health PlanJob Summary 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...

Benefits: 401(k) matching Flexible schedule Paid time offLive your best life possible by helping others live theirs. Our CNA's are the heart and soul of what we do. At At Your Side, we like to celebrate successes and have fun while building meaningful relationships. Join our team and be a part of a certified Great Place To Work®!    Be a part of something...

Job Summary We are searching for a Utilization Management Clinical LVN - someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and outpatient procedures and services requiring authorization. This process includes clinical judgment, utilization management application, verification of...

Job Summary We are searching for a Utilization Management Clinical LVN - someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and outpatient procedures and services requiring authorization. This process includes clinical judgment, utilization management application, verification of...

Job Summary We are searching for an Assistant Director of Network Development -- someone who oversees the development and maintenance of the contracted network of hospitals, physicians and other healthcare providers who provide care to Texas Children's Health Plan. This position assists in the development of policies and procedures for provider contracting...

Case Manager (Registered Nurse) - South/SE Houston/- The Health Plan In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides comprehensive ongoing case management services by coordinating and managing care of high-risk members in order to meet...

Job Summary We are searching for a Director of Provider Relations - someone who works well in a fast-paced setting. In this position, you will be responsible for maintaining a best-in-class provider network management organization that spans multiple service delivery areas and products. This includes all functions and systems supporting provider relations,...

Case Manager (Registered Nurse) - South/SE Houston/- The Health Plan Job Summary We are searching for a Case Manager (Registered Nurse) -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position...

Job Summary We are looking for a Contract Specialist -- someone who works well in a fast-paced setting. In this position, you will be responsible for supporting network management by completing research projects, processing and implementing provider agreements and provider changes, and answering provider calls. This position is also responsible for managing...