- Houston Methodist (Houston, TX)
- …receiving admitting orders and special request concerning each patient. Coordinates with case manager to escalate cases. + Demonstrates teamwork by awareness ... hospital units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and… more
- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …Standards of conduct to avoid conflicts of interest while serving as the HUD-VASH Case Manager . participates in "on call" coverage for Social Work Service. ... Social Worker: provides clinical support, assists in program development, provides shared case load support, and manages a case load of Veterans receiving… more
- Evolent (Austin, TX)
- …and staff whenever a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding the results and monitoring for ... Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process.… more
- ChenMed (Houston, TX)
- …Licensed/Board Certified professional who plays a key role as part of the clinical operations team, providing direct patient care and assessments, primarily in the ... a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation… more
- Molina Healthcare (San Antonio, TX)
- …Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional ... for denial or modification of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and… more
- CenterWell (Arlington, TX)
- …leading clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...(HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor… more
- Prime Therapeutics (Austin, TX)
- …for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program. + Participates… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …Recovery Services Program Manager , or Chief of Psychology. May serve as clinical supervisor for employees in lower grades. May be selected by the ICMHR Program ... (LPMHC) is directly responsible to the Recovery Services Program Manager and ultimately to the Chief of Psychology and...Mental Health (ACOS MH). The ICMHR-RANGE program is a clinical program providing treatment to patients in a major… more
- Catholic Health Initiatives (Houston, TX)
- …role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...provision of services necessary to meet those needs. The case manager must be knowledgeable in community… more
- Elevance Health (Cleveland, TX)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan… more