- 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
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
- ChenMed (Houston, TX)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… 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 (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... to make a real impact. As a(an) Registered Nurse Case Manager you can be a part...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- CVS Health (Austin, TX)
- …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's...clinical practice experience as an RN - 6+ months Case Management or Utilization Management experience -… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...growth, we encourage you to apply for our RN Case Manager PRN opening. We review… more
- HCA Healthcare (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- HCA Healthcare (San Antonio, TX)
- …growth, we encourage you to apply for our Nurse Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will ... Do you have the career opportunities as a(an) Nurse Manager of Case Management you want with...supporting a balance of optimal care and appropriate resource utilization . **Essential Job Functions:** 1. Determines department staffing needs,… more
- HCA Healthcare (San Antonio, TX)
- …will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + RN License to ... our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be a part… more
- HCA Healthcare (San Antonio, TX)
- …performed + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital opened ... physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA...encourage you to apply for our Case Manager RN PRN opening. We review all… more
- HCA Healthcare (San Antonio, TX)
- …performed + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital opened ... physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA...encourage you to apply for our Case Manager RN opening. We promptly review all… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes ... home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to… 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
- HCA Healthcare (Cypress, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified ... have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your...prevent avoidable readmissions. This position integrates national standards for case management scope of services including + Utilization… more
- Texas Health Resources (Arlington, TX)
- …Years Clinical psychiatric or chemical dependency experience Required and * 6 Months in case management or utilization review Required * Prior experience ... Behavioral Health - Case Manager _Bring your passion to...Preferred What You Will Do Daily Payor and Chart Review Activities Identifies those cases requiring certification or re-certification… more
- CVS Health (Austin, TX)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- HCA Healthcare (Austin, TX)
- …to you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates ... their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management… more