- HCA Healthcare (Conroe, TX)
- … to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Houston Healthcare ... to investing in the latest technology enabling nurses to work more efficiently. **Are you passionate about delivering patient-centered... team + You will function as an expert clinical practitioner, case management subject-matter… more
- Houston Methodist (Sugar Land, TX)
- …and unit processes; coaches and mentors other staff and students. Serves a resource for case management and social work resources and needs for the ... a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population...indicated below in the Certificates, Licenses and Registrations section. ** WORK EXPERIENCE** + Three (3) years hospital clinical… 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
- 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 ... scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long-...+ 2 years RN experience in Case Management or 3 years RN experience in clinical… more
- CVS Health (Austin, TX)
- …Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... overall wellness through integration. - 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 plan. - Assessments include the… more
- Covenant Health (Lubbock, TX)
- **Description** **Claims Appeals Representative** **Works collaboratively with Case Management (CM) Leadership, Case Managers (CM), Complex Discharge ... to support maximum reimbursement for CHS from payors. Communicates clinical reviews and refers payor questions to appropriate CM....will report onsite daily as scheduled + Flexibility to work a rotating schedule, including weekends & holidays as… more
- Molina Healthcare (Houston, TX)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... are completed on time and accurately to present results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret… 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 ... interpersonal and client-facing skills. Bilingual preferred. + Ability to work independently and on a team. + Proven working...and on a team. + Proven working experience in case management , including as a nurse, medical,… more
- CVS Health (Austin, TX)
- …needs that may impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + ... care issues through established channels. + Monitors, evaluates and documents care utilizing case management and quality management processes in compliance… more