- Centene Corporation (Austin, TX)
- …or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations. Project management ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- HCA Healthcare (San Antonio, TX)
- …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review, resource management , discharge planning or case management . ... individual is recognized. Submit your application for the opportunity below:Case Manager RNMethodist Hospital **This position will be Part-time (Sat/Sun) two 10-hour… more
- HCA Healthcare (San Antonio, TX)
- …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review, resource management , discharge planning or case management . ... have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We...and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of… more
- 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 . + ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be a part of an… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change....patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare Northwest. **Benefits** HCA Houston Healthcare… more
- Ascension Health (Leander, TX)
- …for various facilities and/or product lines with the goal of increasing physician utilization of Network facilities and improving payer mix. Determine where to focus ... marketing/physician relations efforts based on utilization analysis. + Meet with representatives of target populations regarding network services and programs.… more
- HCA Healthcare (El Paso, TX)
- …role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality ... make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits**...retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies… more
- HCA Healthcare (Kingwood, TX)
- …any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare Kingwood, offers ... their passion for patient care. Apply today for our Registered Nurse RN Case Manager opportunity. **Job Summary and Qualifications** The RN case manager is… more
- Prime Healthcare (Harlingen, TX)
- Overview We are seeking an RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will ... manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems.… more
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