- Molina Healthcare (Houston, TX)
- …RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... or state board licensing mandate. + At least 2 years in case , disease or utilization management ; managed care; or medical/behavioral health settings. + One… more
- Texas Health Resources (Arlington, TX)
- Registered Nurse (RN) - Case Manager - PRN Work location:...Pref Experience 3 Years in an acute care setting, case management or utilization review ... family, physician and payor. 6. Coordinates care with unit case manager and interdisciplinary team. 7. Documents...Pref Experience 3 Years in an acute care setting, case management or utilization review… more
- Molina Healthcare (Dallas, TX)
- …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes...state of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman… more
- HCA Healthcare (Fort Worth, TX)
- …+ Under the supervision of the Director of Case Management , the Case Management Manager performs case management functions; performs ... Medical City Fort Worth team is looking for a Manager of Case Management . HCA...projects. + Works cooperatively with physicians to achieve the utilization of the case management … more
- HCA Healthcare (Dallas, TX)
- …2,000 sites of care in 21 states and the United Kingdom. We are looking for a Manager of Case Management for our Medical City Heart & Spine Hospitals team ... to be an influencer in healthcare? **Apply for our Manager of Case Management role...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** **Education & Experience:**… more
- Houston Methodist (Houston, TX)
- …for state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and ... At Houston Methodist, the Case Manager (CM) position is a...a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and… more
- HCA Healthcare (Houston, TX)
- …five (5) years recent acute care experience required. Minimum of two (2) years of utilization review/ case management experience and minimum of one (1) year ... other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family....and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as… more
- 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 ... may vary by location._** We are seeking a(an) RN Manager Case Management for our...as needed + You will complete accurate and timely utilization review of patient charts to insure appropriate … more
- Houston Methodist (Nassau Bay, TX)
- …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a...a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population… more
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