Top 13 Utilization review Jobs in Lake Jackson Tx

Medical Director (Texas Licensed)
Bumblebee Health —Texas
- Part-time
- Remote
- Medicine
- Management
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
2d
Supervising Physician
Elevate Primary Care & Wellness —Texas
- From $500 a month
- Full-time
- Remote
- Anatomy knowledge
- Management
- Senior level
Quick Apply
12h
OT-FT
Cypress Woods Care Center —Angleton, TX
- Full-time
- CPR Certification
- Management
- Doctoral degree
Quick Apply
10d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
5d

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Anchor Bone and Joint —Pearland, TX
Texas Prescriptive Authority and active DEA license.. Active Texas Physician Assistant (PA) license (or eligible to obtain prior to start)..
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Medical Director (Texas Licensed)
Bumblebee Health —Texas
Candidates must maintain an active Texas medical license and be authorized to provide telemedicine services within the State of Texas.
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RiverVista Behavioral Hospital —Columbus, OH
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Medical Director (Texas Licensed)

Bumblebee Health
Texas

Quick Apply

Job Details

Part-time | Contract
2 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Flexible schedule
Life insurance

Qualifications

Medicine
Correctional experience
Outpatient experience
Evidence-based practice
Telehealth experience
Substance abuse
DEA License
Evidence-based interventions in treatment planning
Medical License
Medication-assisted substance abuse treatment

Full Job Description

BUMBLEBEE HEALTH Position Title

Medical Director (Texas)

FLSA Status: Independent Contractor

Work Setting: Remote / Telemedicine

About Bumblebee Health

Bumblebee Health is an innovative telehealth organization providing high-quality medical and psychiatric services to substance use treatment and behavioral health partners. Our mission is to expand access to exceptional clinical care while helping our partners deliver reliable, cost-effective, and compliant healthcare services throughout Texas.

Position Summary

The Medical Director provides clinical leadership, physician oversight, and medical consultation for Bumblebee Health's substance use disorder (SUD) and behavioral health programs in Texas. This is a part-time, remote leadership position focused primarily on clinical oversight, quality assurance, regulatory compliance, and provider supervision.

The Medical Director ensures that medical services are delivered in accordance with evidence-based practices, Texas state regulations, Joint Commission standards, and Bumblebee Health's clinical policies and procedures.

This position is administrative and supervisory in nature. There are no required direct patient care responsibilities, although opportunities to provide telemedicine evaluations and ongoing treatment are available for candidates who wish to incorporate clinical practice into the role.

Required Qualifications

Active, unrestricted physician license in the State of Texas(MD or DO)
Current DEA registration (or ability to obtain, if direct patient care is desired)
In network with Texas Medicaid Acute Fee for Service
Board Certified in one of the following:
Addiction Medicine
Addiction Psychiatry
Medical Toxicology
Family Medicine
Internal Medicine
Psychiatry
Physicians with significant experience treating substance use disorders are strongly encouraged to apply.
Previous experience serving as a Medical Director, Clinical Director, or physician leader in behavioral health, addiction medicine, or correctional healthcare preferred.
Strong knowledge of ASAM criteria, medication-assisted treatment (MAT), and evidence-based addiction treatment practices.

Credentialing Requirements

Candidates must be currently credentialed and in-network or eligible and willing to become credentialed with Texas Medicaid Acute Fee for Service.

Preference will be given to candidates who are already fully credentialed with these health plans.

Essential Responsibilities

Serve as the Medical Director and physician leader for Bumblebee Health's Texas clinical programs.
Provide medical oversight, supervision, and clinical consultation to physicians, nurse practitioners, physician assistants, nursing staff, and interdisciplinary treatment teams.
Ensure medical services meet applicable federal and Texas state regulations, accreditation standards, and organizational policies.
Participate in quality assurance, utilization review, peer review, and performance improvement initiatives.
Develop, review, and approve medical policies, clinical protocols, standing orders, and treatment guidelines.
Provide consultation on complex medical and addiction-related cases, including participation in interdisciplinary case conferences.
Review and authorize laboratory testing, toxicology screening protocols, medication protocols, referrals, and standing medical orders as appropriate.
Support regulatory readiness and compliance with Joint Commission standards, Texas Division of Public and Behavioral Health requirements, and applicable Medicaid regulations.
Collaborate with executive leadership on clinical program development, risk management, and quality improvement initiatives.
Maintain current knowledge of addiction medicine best practices, telemedicine regulations, and changes in state and federal healthcare laws.

Optional Clinical Responsibilities (If Desired)

Candidates interested in providing direct patient care may also:

Conduct telemedicine medical evaluations.
Diagnose and treat patients with substance use disorders and co-occurring conditions.
Prescribe medications, including medication-assisted treatment (MAT), when clinically appropriate.
Complete intake, progress, and discharge documentation within the electronic health record.
Provide ongoing medication management and follow-up care.

Preferred Qualifications

Experience in addiction medicine, behavioral health, detoxification, residential treatment, outpatient treatment, or correctional medicine.
Experience supervising advanced practice providers (NPs/PAs).
Experience with telemedicine delivery models.
Familiarity with Texas Medicaid policies and Managed Care Organizations.
Knowledge of Joint Commission accreditation standards and quality improvement methodologies.

Work Location

Remote (Telemedicine)

Candidates must maintain an active Texas medical license and be authorized to provide telemedicine services within the State of Texas.

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

Are you in network with Texas Medicaid Acute Fee for Service?

Work Location: Remote

Quick Apply

Refine Your Search

utilization review jobs in lake jackson tx

Medical Director (Texas Licensed)

Supervising Physician

OT-FT

Utilization Management Reviewer

Remote Psychologist - US Location

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