• Clinical Case Manager Behavioral…

    CVS Health (Arlington, TX)
    …Quality of Care:** + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, ... do it all with heart, each and every day. ** Clinical Case Manager Behavioral Health** **Position Summary**...of care to meet the member's goals. + Utilizes case management and quality management more
    CVS Health (08/01/25)
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  • Registered Nurse RN Case Management

    HCA Healthcare (Webster, TX)
    case management team + You will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for ... any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Management to join our healthcare family. **Benefits** HCA Houston Healthcare Clear… more
    HCA Healthcare (08/10/25)
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  • Registered Nurse RN Case Manager PRN

    HCA Healthcare (Webster, TX)
    case management team + You will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for ... position will be scheduled for primarily weekend shifts. For candidates w/no Case Management experience, 6 weeks of training on a Full-Time basis (40 hours/wk)… more
    HCA Healthcare (08/10/25)
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  • Registered Nurse RN Case Manager PRN

    HCA Healthcare (Texas City, TX)
    case management team + You will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for ... Training on a Full-Time basis for several weeks, for candidates without Case Management experience. This position will be primarily scheduled on weekends, with… more
    HCA Healthcare (08/10/25)
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  • Case Manager - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    …+ Bachelor's degree preferred **WORK EXPERIENCE** + Three years hospital nursing clinical experience + Case management experience preferred **LICENSES ... (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
    Houston Methodist (08/01/25)
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  • Medical Director - CVS Health Product, Innovation…

    CVS Health (Austin, TX)
    …as well as sales and account management . Duties include support for - case management , clinical content research & development, chronic condition ... management , lifestyle and well-being programs, clinical support of prospects and existing clients, educational support...including and not limited to reviewing care plans, conducting case reviews, providing clinical guidance. + Identify… more
    CVS Health (08/08/25)
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  • Epic ClinDoc Analyst

    Insight Global (Houston, TX)
    …an Epic Clinical Application Analyst with a focus on Inpatient ClinDoc and Clinical Case Management to join our dynamic care coordination team. This ... solutions. The ideal candidate will be certified in both Inpatient ClinDoc and Clinical Case Management , with a preference for those holding the latter. Key… more
    Insight Global (08/01/25)
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  • Case Manager PRN

    Select Medical (Frisco, TX)
    …as part of the discharge planning process. **The primary job functions in Case Management include:** + Clinical Interventions/Discharge and Care Planning ... duties include:** + Responsible for attending education/in-servicing on current trends in case management , policies and procedures of the Institute, and changes… more
    Select Medical (08/08/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …plan, regulatory guidelines, medical necessity, and accrediting standards for all requests. Provides clinical support to Case Management staff, others as ... to appropriate nonclinical and clinical service areas, physicians, and Case Management staff. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Uses independent… more
    Houston Methodist (07/31/25)
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  • Disability Representative Sr

    Sedgwick (Irving, TX)
    …via the claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains ... Dr Orlando FL 32826 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based...claims outside of typical guidelines. + Utilizes the appropriate clinical resources in case assessment (ie duration… more
    Sedgwick (07/31/25)
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