- CVS Health (Austin, TX)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... (not an all-encompassing list): - Through the use of clinical tools and information/data review, conducts an evaluation of...Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include… more
- HCA Healthcare (Lewisville, TX)
- …of command + Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease ... + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all… more
- HCA Healthcare (Dallas, TX)
- …of command + Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease ... + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all… more
- HCA Healthcare (Denton, TX)
- …of command + Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease ... + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all… more
- Houston Methodist (The Woodlands, TX)
- …PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This ... admission and continued stay are medically necessary and communicates clinical information to payors to ensure reimbursement. The CM...mentors other staff and students. Serves a resource for case management and social work resources and… more
- Houston Methodist (Houston, TX)
- …Five years hospital clinical nursing experience which includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered ... Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated… more
- Public Consulting Group (Austin, TX)
- …+ Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts with patients to keep track of ... to work independently and on a team. + Proven working experience in case management , including as a nurse, medical, mental health care manager or a related… more
- Texas Tech University (Lubbock, TX)
- …Social Work or Clinical Counseling preferred. Two or more years progressive case management experience, residence life experience or experience in a field ... Description:** The Case Manager has primary responsibilities in Case Management and Institutional Support, On-Call/Crisis/Emergency Response, Administration,… more
- CVS Health (Austin, TX)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... other programs to overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory and company policies and… more
- HCA Healthcare (Austin, TX)
- …level of care are appropriate. Experience + 2+ years' experience in case management OR 3+ years' experience in clinical nursing + InterQual experience - ... care and appropriate resource utilization. + You will provide case management services for both inpatient and...to the patient/family. + You will reassess the patient's clinical condition as indicated. You will consider patient's readmission… more