- Elevance Health (Grand Prairie, TX)
- Nurse Utilization / Medical Management I - Medicaid (JR129062) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of ... Friday, 8am - 5pm. EAST COAST WORK HOURS. The ** Nurse Medical Management l** is...2 years acute care clinical experience. **Preferred Qualifications:** + Utilization Management /Review experience within managed care or… more
- HCA Healthcare (North Richland Hills, TX)
- …+ 2 years of critical care experience preferred + Certification in case management preferred + InterQual experience preferred Medical City North Hills is ... being on the front line, empathetic for patients. At Medical City North Hills our nurses set us apart...any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits**… more
- Elevance Health (Grand Prairie, TX)
- …formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The ** Nurse Audit Lead** is responsible for ... Nurse Audit Lead - Carelon Payment Integrity **Location:**...goals, policies, and procedures. + Investigates potential fraud and over- utilization by performing the most complex medical … more
- Fresenius Medical Center (Fort Worth, TX)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, ... three years of Interventional Radiology, scrub experience preferred. + Supervisory or management experience within a medical or vascular access environment… more
- HCA Healthcare (Frisco, TX)
- …required + 2 years of critical care experience preferred + Certification in case management preferred + InterQual experience preferred Medical City Frisco is a ... Do you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current...We have an exciting opportunity for you to join Medical City Frisco which is a part of the… more
- Fresenius Medical Center (Fort Worth, TX)
- …Fort Worth Area **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Grand Prairie, TX)
- …The Telephonic **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** Elevance Health supports a...or service issues. + Assists with the development of utilization /care management policies and procedures and all… more
- Elevance Health (Grand Prairie, TX)
- …Care Nurses preferred. + Prior managed care experience preferred. + Knowledge of medical management process and ability to interpret and apply member contracts, ... management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads… more
- Home Care Providers of Texas (Irving, TX)
- Seeking Home Health Registered Nurse in the Irving (South Dallas), Tx area! Have you ever felt overwhelmed at your nursing job? Have you ever felt rushed to just get ... Available for full time employees only! Full Time Monday-Friday Benefits + Multiple Major Medical Plans to choose from AND Spousal Insurance + Medical Benefits… more
- Select Medical (Frisco, TX)
- …& White Institute for Rehabilitation - Frisco** A joint venture with Select Medical & Baylor Scott & White Health **Prior Authorization Specialist -** **onsite ... identifying relationship opportunities for self and others within Select Medical to include but not limited to CEO, DBD,...limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow relationships and impact… more
- Centene Corporation (Irving, TX)
- …Licensure required or + NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical … more
- Elevance Health (Grand Prairie, TX)
- …5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management (UM/UR) for members receiving transplant ... service issues. Assists with development of utilization /care management policies and procedures. + Within the medical... management policies and procedures. + Within the medical management role will collaborate with healthcare… more
- Fortive Corporation (Fort Worth, TX)
- …and local Integrated Delivery Networks (IDN), including the following: Supply Chain, Nurse Managers, Risk Management , and Sterile Processing, Materials ... Customer experiences. + Drive market share through existing customer utilization assessments and contending for new footprint expansion while...3 years of sales experience, or 2 years of medical sales experience, or 1 year of sales experience… more
- HCA Healthcare (Fort Worth, TX)
- …science, case management or transfer centers. Unlock your potential at Medical City Fort Worth! **Job Summary and Qualifications** The House Supervisor ensures ... **Description** ** Medical City Fort Worth** **House Supervisor** **PRN Hours...Supervisor participates as an active member of the nursing management team and assumes authority to manage all activities… more
- Texas Health Resources (Euless, TX)
- …or teaching using adult learning principles (preferred)** + **LVN - Licensed Vocational Nurse Upon Hire (required)** **_OR_** + **CMA - Certified Medical ... through active instructor presence; promotes positive classroom discipline and the time management . + Possesses knowledge of and ability to implement a wide variety… more