- Texas Health Resources (Arlington, TX)
- …professional nursing in the state of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon hire Skills ... Director Utilization Management-Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for… more
- Baylor Scott & White Health (Dallas, TX)
- …medical documentation systems. + Case management certifications, such as Certified Case Manager , are beneficial but not necessary for this position. ... resolutions to fit their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels… 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
- 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
- Houston Methodist (Nassau Bay, TX)
- …needed for rotating weekend days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Molina Healthcare (Dallas, TX)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
- Houston Methodist (Houston, 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 (Houston, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a Registered Nurse Case Manager you want in your current...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved… more
- HCA Healthcare (Dallas, TX)
- …nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...growth, we encourage you to apply for our RN Case Manager PRN opening. We review… more
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