• Utilization Review Case Manager

    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 ... concurrent and extended stay reviews. + Prepares and submits appeals to third party payors. + Maintains appropriate records...third party payors. + Maintains appropriate records of the Utilization Review Department . + Performs related duties,… more
    Dallas Behavioral Healthcare Hospital (10/30/25)
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  • System Manager Revenue Cycle (Medicare…

    Houston Methodist (Katy, TX)
    At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
    Houston Methodist (11/12/25)
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  • VAS - Institutional Funds Manager

    CBRE (Dallas, TX)
    VAS - Institutional Funds Manager Job ID 230919 Posted 02-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal ... The Role:** As a CBRE VAS - Institutional Funds Manager , you will independently prepare market value appraisals on...of the property; conducting analyses and studies, eg, land utilization , supply and demand, economic feasibility, highest and best… more
    CBRE (12/05/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (Dallas, TX)
    …to provide quality and cost-effective member care. This position will be supporting our Appeals and Grievances department . We are seeking a Registered Nurse with ... modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/ appeals . + Provides… more
    Molina Healthcare (12/03/25)
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  • Case Management Representative - Willowbrook

    Houston Methodist (Houston, TX)
    …assistance and data management support to the case management and social work department to facilitate efficient utilization of resources and discharge planning ... care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies,… more
    Houston Methodist (11/08/25)
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  • Director Care Transition

    Texas Health Resources (Bedford, TX)
    …Certified Case Manager Upon Hire Preferred Or CPUM - Certified Professional Utilization Manager Upon Hire Preferred Or Other ANCC Upon Hire Preferred Skills ... financial data (eg, LOS data, avoidable days, adverse determinations, and denials/ appeals ) and makes recommendations to improve performance. Achieves and maintains… more
    Texas Health Resources (12/06/25)
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