- Wolters Kluwer (Austin, TX)
- …nurses, and pharmacists every day as they work on the front lines of clinical care . Our talented team of physician editors, technologists, and product ... make a difference - and so do our people ** Clinical Decision Support and Provider Solutions (CDSP)** - a...the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management… 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
- Elevance Health (Grand Prairie, TX)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** ... how healthcare is delivered and promoting the advancement of care for the people we serve._ The ** Clinical...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- Catholic Health Initiatives (Houston, TX)
- …perform daily life activities; must possess professional judgment and clinical knowledge to develop individualized programs. **ESSENTIAL KEY JOB RESPONSIBILITIES** ... occupational therapy treatment programs according to physician referral, and/or plan of care . Designs programs to meet the patient's physical, psychological, and age… more
- HCA Healthcare (Georgetown, TX)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... with Progyny and adoption assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more + Consumer discounts through… more
- HCA Healthcare (Austin, TX)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... with Progyny and adoption assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more + Consumer discounts through… more
- HCA Healthcare (Dallas, TX)
- …and other parties as appropriate regarding behavioral services** + **Performs utilization review as assigned** + **Participates in developing department ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- HCA Healthcare (Dallas, TX)
- …- Friday with some weekends *_ Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The ... that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This… more
- HCA Healthcare (Denton, TX)
- …- Friday with some weekends *_ Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The ... that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This… more
- Prime Healthcare (Weslaco, TX)
- …and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care . Educates staff ... Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core...RN License required. Bachelor Degree preferred 2. Five years clinical experience in a multidisciplinary health care … more