- Houston Methodist (The Woodlands, TX)
- …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered...hospital clinical nursing experience, which includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED**… more
- HCA Healthcare (Dallas, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more time at the ... deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your...your career! We are interviewing candidates for our Registered Nurse Case Manager PRN opening. **Apply today… more
- HCA Healthcare (Dallas, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and...path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all… more
- CVS Health (Austin, TX)
- …+ Participate in team meetings, training sessions, and quality improvement initiatives. + Travel locally for in-person case management activities, as ... CVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case...role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be… more
- Elara Caring (Irving, TX)
- …the Right Care, at the Right Time, in the Right Place. **Job Description:** Registered Nurse Case Manager Salaried (JP506E) At Elara Caring, we care where you ... countless ways to make a difference as a **Registered Nurse Case Manager** . Being a part...Care. + Teaches hospice philosophy and pain and symptom management to staff in alternate care settings (nursing homes,… more
- CVS Health (Irving, TX)
- …includes Dallas, Kaufman, Rockwall, and/or Collin County Roles and Responsibilities: + Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the… more
- CVS Health (Dallas, TX)
- …required; mileage is reimbursed as per company policy **Preferred Qualifications** + Case Management and/or home health care experience + Managed care ... is a **work from home** flexible position with expected travel up to 50% that will require home visits....**Assessment of Members:** + Through the use of care management tools and information/data review, the Case … more
- Highmark Health (Austin, TX)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as… more
- CVS Health (Austin, TX)
- … Manager RN is responsible for assessing, planning, coordinating, and implementing case management activities to support members' overall health and wellness. ... + Review prior claims to assess impact on current case management and eligibility. + Evaluate work...possess reliable transportation and be willing and able to travel up to 10% of the time. Mileage is… more
- Houston Methodist (Houston, TX)
- …position is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of a ... **WORK EXPERIENCE** + Three years hospital nursing clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED**… more