- Sedgwick (Irving, TX)
- …the claimant's physician and employer. + Refers cases as appropriate to team lead and clinical case management to assist with claim determination. + Meets ... financial and professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based...defined by the disability plan. + Utilizes the appropriate clinical resources in case assessment… more
- Sedgwick (Irving, TX)
- …with the claimant's physician and employer.** **Escalates cases to the team lead or clinical case management for further review when appropriate.** **Builds ... plans, ADA accommodations, and cases that fall outside standard guidelines.** **Applies clinical resources such as duration guidelines and consults with in-house… more
- Houston Methodist (Houston, TX)
- …FUNCTIONS** + Serves as a department resource for questions related to case management activities. Communicates in an active, positive, and effective manner ... providing community resources /services to uninsured patients as requested Case Management staff + Participates in reimbursement/certification and… more
- Houston Methodist (Houston, TX)
- …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of ... clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN -… more
- Texas Health Resources (Dallas, TX)
- …Preferred * Three years' clinical experience required. * One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req ... - Licensed Bachelor Social Worker Upon Hire Req And * BCCMN - Board Certified Nursing Case Management 12 Months Req or ACM - Accredited Case Manager upon… more
- HCA Healthcare (Irving, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with Medical City Las Colinas. **Benefits** Medical City ... by location._** Come join our team as a Director Case Management . We care for our community!...external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a Director Case Management ? At HCA Houston Healthcare Northwest, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Director Case Management like you to be a...external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight… more
- Houston Methodist (Houston, TX)
- …This position is responsible for the integration and advancement of a unified case management model grounded in clinical excellence, throughput efficiency, ... At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based … more
- Houston Methodist (Houston, TX)
- …opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. **GROWTH/INNOVATION ... At Houston Methodist, the Director Case Management & Social Services RN...while promoting the most cost-effective utilization of the hospital's resources . The Director Case Mgmt Social Svcs… more
- Texas Tech University (Amarillo, TX)
- …the American Board of Veterinary Specialties. This position will be involved in clinical case management , teaching, and continuing education throughout the ... Resident **Position Description:** This position will participate in an advanced clinical training program under the supervision of board-certified specialists. This… more