• Lead Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …The Lead Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case ... together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-time Lead Utilization Management Coordinator, Monday-Friday, 8a-4p.… more
    Houston Behavioral Healthcare Hospital (08/09/25)
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  • Director of Case Management & Social…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and...excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of… more
    Houston Methodist (08/02/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This… more
    Houston Methodist (08/08/25)
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  • RN Manager Case Management

    HCA Healthcare (El Paso, TX)
    **Description** **Introduction** We are seeking a(an) RN Manager Case Management with Del Sol Medical Center to promote growth and unlock possibilities. At HCA ... vary by location._** We are seeking a(an) RN Manager Case Management for our team to be...as needed + You will complete accurate and timely utilization review of patient charts to insure… more
    HCA Healthcare (06/21/25)
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  • Certified Case Manager

    Houston Methodist (Cypress, TX)
    …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated… more
    Houston Methodist (07/26/25)
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  • Clinical Case Manager Behavioral Health…

    CVS Health (Arlington, TX)
    …+ Bilingual. + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and discharge planning ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards… more
    CVS Health (08/01/25)
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  • Case Manager - UM II -100%

    Healthfirst (TX)
    The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health… more
    Healthfirst (08/08/25)
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  • Case Manager - Registered Nurse

    CVS Health (Austin, TX)
    …candidates in compact Registered Nurse (RN) states. This role is a blended role doing both Case Management and Utilization Management . The RN Case ... + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...2+ years' experience in critical care + 6+ months case management or utilization more
    CVS Health (08/08/25)
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  • Case Manager PRN

    Select Medical (Frisco, TX)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... as part of the discharge planning process. **The primary job functions in Case Management include:** + Clinical Interventions/Discharge and Care Planning … more
    Select Medical (08/08/25)
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  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay...RN in the state of TX + Certification in Case Management preferred + 2+ years experience… more
    HCA Healthcare (08/09/25)
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