- Molina Healthcare (Austin, TX)
- …Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Catholic Health Initiatives (Houston, TX)
- **Responsibilities** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective ... determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management , performing...related clinical field * Minimum 5 years of clinical case management ( Utilization Management… more
- Houston Methodist (Houston, TX)
- …(MSW) + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or ... At Houston Methodist, the Manager Case Mgmt Social Svcs position...operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to… 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 Dallas team where excellence ... 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
- Adecco US, Inc. (Houston, TX)
- …electronic health records (EHR) systems is essential. . Preferred certifications include Certified Case Manager (CCM) or Certified Utilization Review Nurse ... & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is...in Texas . 2 to 3 years of clinical nurse/ case management experience . 2 to 3… more
- Houston Methodist (Houston, TX)
- …Recognized Certification -- Case Management -related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED At Houston Methodist, the System Float Pool ... Management -related **OR** + ACM - Accredited Case Manager (NBCM) **KNOWLEDGE, SKILLS, AND ABILITIES**...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
- Houston Methodist (Houston, TX)
- …ANCC Recognized Certification -- Case Management -related **OR** + ACM - Accredited Case Manager (NBCM) -- National Board for Case Management ... At Houston Methodist, the Case Manager (CM) Advanced position is...clinical skill, etc. + Expert knowledge of discharge planning, utilization management , case management… 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 (Houston, TX)
- …ANCC Recognized Certification -- Case Management -related **OR** + ACM - Accredited Case Manager (NBCM) -- National Board for Case Management ... At Houston Methodist, the Case Manager (CM) Certified position is...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more