- CenterWell (Austin, TX)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- Molina Healthcare (San Antonio, TX)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified… more
- Molina Healthcare (TX)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Wellpath (Mckinney, TX)
- …make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites ... of Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- Covenant Health (Lubbock, TX)
- …Surgical or Inpatient setting. + IRR or annual competency testing in Utilization Review . **Preferred Qualifications:** + Bachelor's Degree in Nursing within ... **Description** **Care Manager RN** **The Care Manager RN...+ 1 year of experience in care management or utilization review in any setting or successful… more
- AdventHealth (Killeen, TX)
- …**Preferred qualifications:** + 5 years Registered Nurse Work Experience Preferred + Certified Case Manager (CCM) Preferred + Accredited Case Manager ... AdventHealth Central Texas **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
- CyrusOne (Dallas, TX)
- The Customer Success Manager (CSM) is responsible for creating a world class level of service by leading and organizing internal and external resources The Customer ... Success Manager (CSM) is responsible for creating a world class...+ Performs weekly, monthly, and quarterly customer meetings to review open action items, quote and order status, support… more
- Conduent (Plano, TX)
- … Hybrid- 3 days in office 2 days remote** **Overview:** **An Operation's Manager oversees the utilization of the organization's Business Analyst team who ... Reviews document concerns or exceptions to procedures on a case -by- case basis and issue decision. Update and...reviews for corporate. Propose salary increases for team members. Review and/or correct non-exempt team time punches, entering time… more
- AdventHealth (Mansfield, TX)
- …7:00am-5:30pm)** Flexibility with schedule specific schedule to be discussed with the manager . **Location:** 2300 Lone Star Road; Mansfield, TX 76063 **The community ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...business community. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- Ross Stores, Inc. (Dallas, TX)
- …PURPOSE:** **Ross is always looking for qualified talent for our Area Loss Prevention Manager roles across the Nation, to express your interest please apply to this ... for a particular job function\.** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of...etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop… more
Recent Jobs
-
Clinical Nurse (RN) ED Behavioral Health/Full-time
- CHRISTUS Health (Hernandez, NM)
-
Lead Accounts Payable Specialist
- vaco (Danville, KY)
-
Medical Director
- NVA (Florissant, MO)
-
Family Medicine Physician Associate Needed for Locum Tenens Coverage at Facility in
- LocumTenens (State Farm, VA)