- KeyBank (Dallas, TX)
- …management strategy for assigned portfolio, including business plans and case preparation within portfolio assigned timeframes. + Correspondence and negotiations ... to manage and prioritize multiple tasks in a high-volume environment. PREFERRED QUALIFICATIONS + Knowledge of bank, conventional, agency, and/or commercial… more
- CVS Health (Austin, TX)
- …comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred . Leads a team in the planning and execution of investigations of ... best course of action to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness and quality of the… more
- Ascension Health (Austin, TX)
- …data to support strategic development and improvement activities related to case mix index, MS DRG and value-based purchasing reimbursement, and quality/outcomes ... required. + 3 years of leadership or management experience preferred . **Additional Preferences** + 5 years RN or 3-5...including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values… more
- Houston Methodist (Houston, 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
- Elevance Health (Cleveland, TX)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ Current, unrestricted RN license in applicable state(s) required. ** Preferred Skills, Capabilities and Experiences:** + MA/MS in Health/Nursing… more
- CenterWell (Eastland, TX)
- …As a **Home Health Registered Nurse** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home health patients. + Administer ... on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more
- Elevance Health (TX)
- …ill pediatric patients, patients with IDD and patients with special needs is preferred . + Home Health, Utilization Management or Case Management experience ... community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and minimum of… more
- Chemours (La Porte, TX)
- …clearance as well as hazard assessments. + Interact with site HR, Safety, Plant Manager , and Leave Coordinator. + Case manage Short Term Disability and ... delivering Trusted Chemistry that creates better lives and helps communities thrive. That begins with how we use our...TX** location and report directly to the **Regional Nurse Manager ** . As an Occupational Health Nurse, you will… more
- Elevance Health (Houston, TX)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.… more
- CenterWell (Athens, TX)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as...health experience. + Prior packet review / QI experience preferred . + Coding certification is preferred . +… more