- 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
- CVS Health (Austin, TX)
- …in compact Registered Nurse (RN) states. This role is a blended role doing both Case Management and Utilization Management . The RN Case Manager ... face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Molina Healthcare (Austin, TX)
- …is a fast-paced position and productivity is important. Prefer candidates that have previous case management experience in manage care, and that have a compact ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- HCA Healthcare (Arlington, 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
- 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 ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...and on a team. + Proven working experience in case management , including as a nurse, medical,… more
- CVS Health (Arlington, TX)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...of care to meet the member's goals. + Utilizes case management and quality management … more
- Molina Healthcare (TX)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service... managers + Works cases with members who have complex medical conditions and medication regimens + Conducts medication… more
- HCA Healthcare (Austin, TX)
- …balance of optimal care and appropriate resource utilization.** + **You will provide case management services for both inpatient and observation patients as ... qualifications you will need:** + **2+ years' experience in case management OR 3+ years' experience in...a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally… more
- HCA Healthcare (Austin, TX)
- …balance of optimal care and appropriate resource utilization. + You will provide case management services for both inpatient and observation patients as ... needs and level of care are appropriate. Experience + 2+ years' experience in case management OR 3+ years' experience in clinical nursing + InterQual experience… more
- HCA Healthcare (Austin, TX)
- …balance of optimal care and appropriate resource utilization. + You will provide case management services for both inpatient and observation patients as ... qualifications you will need:** + 2+ years' experience in case management OR 3+ years' experience in...a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally… more