- ChenMed (Houston, TX)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of...of utilization review , compliance with requirements of external review … more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to...relationships across the hospital** + **Ability to manage multiple concurrent projects and maintain a work pace appropriate to… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more time...of utilization review , compliance with requirements of external review … more
- Centene Corporation (Austin, TX)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... + Experience working with providers and healthcare teams to review care services, precertification, concurrent review...and Family Therapist required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Centene Corporation (Austin, TX)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... MUST HAVE INDIANA LICENSURE **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status...insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use… more
- HealthTrust Workforce Solutions (San Antonio, TX)
- …to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social Services ... Interim Leader of Case Management Services is a Registered Nurse who participates as an active administrative member of...Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The… more
- Centene Corporation (Austin, TX)
- …and substance abuse + Experience working with providers and healthcare teams to review care services, precertification, concurrent review , discharge reviews ... and Weekends** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises… more
- Centene Corporation (Houston, TX)
- …weight, current and past medical history, clinical laboratory results and concurrent medications (including over-the-counter or home remedy medications) + Ensure ... and the results are obtained and discussed with the nurse and the physician + Provide patient counseling, education,...+ Assess responses to therapy, patient compliance, and ongoing review of drug regimens; report and manage adverse events… more