• Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …and retrospective review of patient medical records for purposes of utilization review , compliance with requirements of external review agencies ... Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other… more
    HCA Healthcare (11/14/25)
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  • Case Manager

    Houston Methodist (The Woodlands, TX)
    …and federal programs + Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement ... planning process on assigned units. + Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker… more
    Houston Methodist (01/16/26)
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  • Medical Reviewer LPN

    Health Care Service Corporation (Richardson, TX)
    …reviews in accordance with the medical contract and regulations, medical criteria, utilization review , and quality of care. **JOB REQUIREMENTS** **:** + ... are not required to obtain multi-state licenses. **PREFERRED JOB REQUIREMENTS** **:** + Utilization review or utilization management experience + Insurance… more
    Health Care Service Corporation (01/14/26)
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  • Resource Manager | Remote, USA

    Optiv (Austin, TX)
    …right staff assignments are made in right timeframes. + Maximize utilization . + Increase visibility of availability. + Assess skills/certifications against pipeline, ... and assignment of services team members and subcontractors. + Review schedule data proactively to maintain high degree of...assign and manage the schedules of people to projects based on their skills, previous experience, availability, keeping in… more
    Optiv (12/29/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …Management will be performed + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. This is ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (01/03/26)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (01/11/26)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (01/11/26)
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  • Market VP, Provider Contracting

    CenterWell (Austin, TX)
    …strategy, and operationalize core contracting principles and metrics for the home health business-progressing beyond fee-for-service toward value- based care and ... savings, bundled/episodic payments, pay-for-performance, and new service models aligned to home - based care. + Build payer relationships and multi-payer… more
    CenterWell (01/16/26)
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  • Associate Medical Director

    CenterWell (Corpus Christi, TX)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... management to ensure high-quality patient care and alignment with Value- Based Care (VBC) principles. This market/center-specific role requires flexibility to… more
    CenterWell (11/20/25)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (San Antonio, TX)
    …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (01/04/26)
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