- KBR (Houston, TX)
- …and Direct Combat Support personnel: Provide neuro - musculoskeletal injury care , utilizing approved supplemental clinical privileges including the ordering ... care . + Provide input for the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing… more
- HCA Healthcare (San Antonio, TX)
- …Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior ... care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...setting is a plus. + Minimum of 3 years clinical RN Experience in acute setting. + RN License… more
- Centene Corporation (Austin, TX)
- …changes to improve satisfaction levels. + Work collaboratively to develop corporate clinical care standards and medical practice policies. + Meet in-person ... healthcare services to health plan members. + Serves as clinical advisor to and educator of medical management staff... case management data, identifies trends and gaps in care and recommends corrective actions. + Review … more
- Houston Methodist (Nassau Bay, TX)
- …and produce information. + Coordinates the provision of comprehensive, interprofessional patient care that results in clinical excellence, optimal outcomes and ... assigned nursing units and departments in terms of the quality of nursing care delivered, as well as for planning, organizing, leading and evaluating nursing… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …respond to critical lab/diagnostic test result notifications in a timely manner. - Clinical Management including direct and indirect patient care : ensure all ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities The Geriatric and...new focus on the Medical Home and Patient Centric Care , Utilization , Quality and Patient Safety oversight,… more
- CVS Health (Austin, TX)
- …CISM experience. + Human Resource and/or Supervisory experience. + Case management, Utilization Review , or Utilization Management background preferred. ... concerns. Coordinates critical incident and disruptive event response. Provides member clinical assessments and triage into care . Performs case management… more
- Prime Healthcare (Mesquite, TX)
- …safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of ... to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will... transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance… more
- Texas A&M University System (Bryan, TX)
- …of an inter- and intra-disciplinary team, including problem solving, program planning, clinical care planning, and quality improvement. + Clinic Process ... standards and assists with program evaluation activities to track and analyze utilization and effectiveness of services. + Patient Review and Continuing… more
- Adecco US, Inc. (Houston, TX)
- … recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations ... appointments with members that participate in any of the clinical programs operationally supported by the Clinical ...pertaining to, but not limited to, gaps in care , high risk medications, compliance and adherence, drug interactions,… more
- Fresenius Medical Center (Olmito, TX)
- …**Environment of Care & Quality** + Manage site employees, environment, clinical processes and procedures, and workflow to deliver high quality of patient ... Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical , operational, and...procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC… more