- Molina Healthcare (Houston, TX)
- …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Elevance Health (Houston, TX)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... ** Behavioral Health Care Manager II** **Virtual**...** Behavioral Health Care Manager II** **Virtual** : This role enables associates...**Shift** : 12:00 PM - 8:30 PM ET The ** Behavioral Health Care Manager II** is responsible… more
- Elevance Health (Grand Prairie, TX)
- …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- Texas Health Resources (Bedford, 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
- HCA Healthcare (Fort Worth, TX)
- …**Job Summary and Qualifications** + Under the supervision of the Director of Case Management , the Case Management Manager performs case management ... Medical City Fort Worth team is looking for a Manager of Case Management . HCA Healthcare is...projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +… more
- HCA Healthcare (Dallas, TX)
- …2,000 sites of care in 21 states and the United Kingdom. We are looking for a Manager of Case Management for our Medical City Heart & Spine Hospitals team where ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...to be an influencer in healthcare? **Apply for our Manager of Case Management role today!** **Job… more
- Molina Healthcare (TX)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- HCA Healthcare (Houston, TX)
- …of Texas! **Job Summary and Qualifications** + Under the direction of the Case Management Manager and the Director of QRM, reviews admissions and extended stays ... have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and… 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
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