- Humana (Austin, TX)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...required, with no disciplinary action + 2+ years of Post - Acute clinical experience in a SNF, LTACH… more
- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- ChenMed (Houston, TX)
- …care physicians, hospitalist, specialists, social workers, other case managers and nurses, acute and post - acute facilities, home health care companies, ... acute care nurse will anticipate the need for post - acute and/or long-Term care, from day one...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- Humana (Austin, TX)
- …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation **Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- HCA Healthcare (El Paso, TX)
- …patient care rounds and/or conferences to review treatment goals, optimize resource utilization , provide family education and identify post -hospital needs. + You ... health care setting with recent work history in acute care case management role or related...or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization … more
- Houston Methodist (Cypress, TX)
- …efficient utilization of resources and discharge planning including referrals management , communication and collaboration with post - acute care providers, ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical...issues as needed + Facilitates and arranges acquisition of post - acute needs, as directed, and in collaboration… more
- Houston Methodist (Houston, TX)
- … committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other ... review/ management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the… more
- Houston Methodist (Nassau Bay, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated...managed care reimbursement. + Understanding of pre- acute and post - acute venues of… more
- Ascension Health (Austin, TX)
- …year of leadership or management experience required. **Additional Preferences** + Case Management and post acute experience preferred. **Why Join Our ... management , as well as tracking of the post - acute period and provision of disease ...utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise… more
- Houston Methodist (Cypress, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated...managed care reimbursement. + Understanding of pre- acute and post - acute venues of… more
- Houston Methodist (Houston, TX)
- …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of...care reimbursement + Understanding of pre- acute and post - acute venues of… more
- Houston Methodist (Baytown, TX)
- …team for special project activities related but not limited to, throughput, readmissions, and utilization management to align with the visions and goals of the ... related topics such as length of stay reduction, readmission prevention, utilization management denial mitigation and appeal resolution. Identifies opportunities… more
- The Cigna Group (Harlingen, TX)
- …Three to Five (3-5) years recent experience in an acute -care environment, case- management or utilization management position (experience can be a ... provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services and… more
- Humana (Austin, TX)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Austin, TX)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- HCA Healthcare (Austin, TX)
- …an acute health care setting - preferred + Previous recent work history in acute care case management role - preferred + Working knowledge of case ... assessment and coordination of discharge planning needs, delivery of post -discharge planning needs, delivery of post -discharge services...management philosophy/process/role, needs assessment principles of utilization … more
- Houston Methodist (Houston, TX)
- …efficient utilization of resources and discharge planning including referrals management , communication and collaboration with post - acute care providers, ... Coordinator position is responsible for providing technical, clerical assistance and data management support to the care management department staff to… more
- Methodist Health System (Celina, TX)
- …external facing and will create and support our relationships with our discharge and post - acute partners including but not limited to home health, DME, nursing ... :** Your Job: This role will directly oversee all functions of case management and social work for Methodist Celina. This includes supporting discharging planning,… more
- Apex Health Solutions (Houston, TX)
- Position Summary: Responsible for providing care management and utilization management services and support to improve health outcomes via a coordinated ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Case Management , Population Management… more
- Catholic Health Initiatives (Bryan, TX)
- …engaging other relevant health team members, the patient and/or patient representative and post - acute care providers in accordance with the patient's clinical or ... established evidence based guidelines/criteria. 5. Collaborates with the healthcare team and post - acute service providers to ensure timely and smooth transitions… more