- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/registered-nurse-case- manager utilization - ... CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN...visit www.KnappMed.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- CenterWell (Austin, TX)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- CVS Health (Austin, TX)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of… more
- Elevance Health (Grand Prairie, TX)
- … Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient and ... **JR168679 Behavioral Health Care Manager I** The...member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with… more
- Molina Healthcare (Dallas, TX)
- …and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- Texas Health Resources (Fort Worth, TX)
- …patient flow, patient care and assignments. Responsible for assisting the manager /director with human resource management to include evaluations, coaching, ... Nursing Supervisor - Behavioral Health _Texas Health Bedford BU - ...staff. * Participates in progressive disciplinary action process with Manager /Director and staff. * Uses Performance Management … more
- CenterWell (Dallas, TX)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses,...managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients… more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge planning ... (5) years recent acute care experience required. Minimum of two (2) years of utilization review/case management experience and minimum of one (1) year experience… more