- Houston Methodist (Houston, TX)
- …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as...hospital. Provides education to physicians, nurses, and other health care providers on utilization management topics. +… more
- Veterans Affairs, Veterans Health Administration (Mcallen, TX)
- …requirement of licensure for a period not to exceed 3 years for a LPMHC that provides care under the clinical supervision of a licensed LPMHC who is at or above ... Mental Health Recovery Rural Access network for Growth Enhancement (ICMHR-RANGE) Licensed Professional Mental Health Counselor (LPMHC) is directly responsible to the… more
- AdventHealth (Mansfield, TX)
- …and a growing business community. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- HCA Healthcare (Fort Worth, TX)
- …reservations or limits? Our Medical City Fort Worth team is looking for a Nurse Manager of Critical Care CVICU. HCA Healthcare is an advanced healthcare network ... lives across the country? Apply today to our Nurse Manager of Critical Care CVICU and be...guidelines. + You will manage operating expenses, including the utilization of supplies and equipment. **What qualifications you will… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **Must be licensed and reside in the state of TX** **Service Deliver Area: Austin and ... **Hybrid Position: Field visits and work from home** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and… more
- Texas Health Resources (Dallas, TX)
- …utilization review according to department identified criteria to determine the appropriate utilization of resources and patient level of care . Reviews daily ... Case Manager - Inpatient Rehabilitation _Bring your passion to...- Registered Nurse Upon Hire Req or LMSW - Licensed Master Social Worker Upon Hire Req or LBSW… more
- HCA Healthcare (Dallas, TX)
- …path that fits their life - for life - and empowers their passion for patient care . Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You...You Will Do In This Role: + The Case Manager will assist in the facilitation of care… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... approved utilization criteria to monitor appropriateness of admissions, level of care , resource utilization , and continued stay. Reviews level of care… more
- Houston Methodist (Houston, TX)
- …approved utilization criteria to monitor appropriateness of admissions, level of care , resource utilization , and continued stay. + Participates in denial ... At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN)...utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute venues… more
- Molina Healthcare (Austin, TX)
- …at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent ... Contributes to overarching strategy to provide quality and cost-effective member care . **Essential Job Duties** + Collaboratively plans and executes internal… more
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