- CVS Health (Austin, TX)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of… more
- HealthTrust Workforce Solutions (El Paso, TX)
- …GATEWAY BLVD. WEST EL PASO, TX 79925 ID: 870458 Job Board: EV IND_2 **ReqID:** 870458 **Category:** RN **Specialty:** Case Management **Position Type:** Travel ... It's defined by its people. We pride ourselves on crafting opportunities which expand skill sets, broaden career horizons, provide economic stability, and cultivate personal growth. Our partnering hospital is seeking a compassionate and skilled RN for a… more
- Texas Tech University (Lubbock, TX)
- …Description:** The Case Manager has primary responsibilities in Case Management and Institutional Support, On-Call/Crisis/Emergency Response, Administration, ... hired. **Requisition ID:** 41692BR **Travel Required:** Up to 25% **Major/Essential Functions:** ** Case Management and Institutional Support (40%)** + Provide … more
- CVS Health (Arlington, TX)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... and monitors established plans of care to meet the member's goals. + Utilizes case management and quality management processes in compliance with regulatory… more
- Healthfirst (TX)
- …for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager, Utilization ... members, as well as meeting designated quality metrics. Duties/Responsibilities: Provides case management services for assigned member caseloads which includes:… 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 (San Antonio, TX)
- …of Science in Nursing + Minimum of 3 years clinical experience in area in which Case Management will be performed. + Prefer at least one year experience in ... Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans...utilization review, resource management , discharge planning or case management… more
- American Arbitration Association (Dallas, TX)
- …You will handle day-to-day case administration through our proprietary case management system (PRISM), correspond with parties, attorneys, and neutrals, ... Case Administrator (Legal Services/Administrative Support) Location: Dallas, TX,...race, color, religion, gender, sexual orientation, national origin, age, disability , marital status, or status as a covered veteran… more
- HCA Healthcare (Pasadena, TX)
- …safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: What you will do ... Associate Degree in Nursing, required + Bachelor's Degree in Nursing, preferred + Case Management certification, preferred + Current Texas licensure with State… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review, resource management , discharge planning or case management . Prior Case ... Do you want to join an organization that invests in you as a(an) Case Manager RN? At Methodist Hospital Stone Oak, you come first. HCA Healthcare has… more
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