- 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
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (Pasadena, TX)
- …you want to join an organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare Southeast, you come first. HCA ... difference. We are looking for a dedicated Registered Nurse Case Manager Rehab like you to be...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
- 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...Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State… more
- Houston Methodist (The Woodlands, 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
- Cardinal Health (Austin, TX)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- HCA Healthcare (Round Rock, TX)
- …case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... will do in this role: + Coordinates with RN case manager and social worker for support...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- HCA Healthcare (Irving, TX)
- …case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... Case Management functions. + Coordinates with RN case manager and social worker for support...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- Houston Methodist (The Woodlands, TX)
- …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
- Houston Methodist (Houston, TX)
- …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... health care team to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan of care and services… more