- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Texas Health Resources (Dallas, TX)
- Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut Hill ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective… more
- HCA Healthcare (Arlington, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a Registered Nurse Case Manager you want in your current...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- HCA Healthcare (Dallas, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will ... you have the career opportunities as a Registered Nurse Case Manager PRN you want in your...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- HCA Healthcare (Plano, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will ... you have the career opportunities as a Registered Nurse Case Manager PRN you want in your...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that… more
- Ross Stores, Inc. (Dallas, TX)
- …PURPOSE:** **Ross is always looking for qualified talent for our Area Loss Prevention Manager roles across the Nation, to express your interest please apply to this ... for a particular job function\.** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of...etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop… more
- Elevance Health (Grand Prairie, TX)
- …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses… more
- Elevance Health (Grand Prairie, TX)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management/ utilization management with a broad range of experience ... **Behavioral Health Care Manager I** **Virtual:** This role enables associates to...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact** Primary duties… more
- Ross Stores, Inc. (Dallas, TX)
- …and development for our teams\. **GENERAL PURPOSE:** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of Ross Stores, Inc\. ... Operations, MPT, etc\.\) and analytics\. * Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to… more
- Molina Healthcare (Fort Worth, TX)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of… more
- Molina Healthcare (Fort Worth, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Baylor Scott & White Health (Dallas, TX)
- …or related field preferred. Master's degree preferred. 2. 5+ years of experience in case management, social work, utilization review , or related field. 3. ... function of Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient access, utilization… more
- Texas Health Resources (Bedford, TX)
- …Upon Hire Required And CPR - Cardiopulmonary Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case ... Manager Upon Hire Preferred Or CPUM - Certified Professional Utilization Manager Upon Hire Preferred Or Other ANCC Upon Hire Preferred Skills Knowledge of… more
- Texas Health Resources (Arlington, TX)
- …Upon Hire Required And CPR - Cardiopulmonary Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case ... Manager Upon Hire Preferred Or CPUM - Certified Professional Utilization Manager Upon Hire Preferred Or Other ANCC Upon Hire Preferred Skills Knowledge of… more
- Deloitte (Dallas, TX)
- …Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- Molina Healthcare (Fort Worth, TX)
- …Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society ... and expertise in performance of prior authorization, inpatient concurrent review , discharge planning, care management and interdisciplinary care team (ICT)… more
- Elevance Health (Grand Prairie, TX)
- …Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review ** **Virtual:** This role enables associates ... necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- J&J Family of Companies (Dallas, TX)
- …differentiation with approved clinical studies and marketing aids to support the case for adoption. Achieve all sales performance goals and objectives for ... not limited to call plan attainment, resource execution and utilization , compliance and sales training requirements. + Consistently adhere...your time. Here's What You Can Expect + Application review : We'll carefully review your CV to… more