- Molina Healthcare (TX)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** Manager Comphrensive Care Management RN manages the activities and staff responsible for assessing and coordinating patient care across the ... continuum to include case management , social work, utilization review and care...5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse (RN) As a health care system committed to… more
- Children's Home Healthcare (Amarillo, TX)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... Healthcare is now hiring for an RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- Deloitte (Dallas, TX)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN, Quality, ... Business Administration, Nursing and related health fields preferred + Case Management or Medical coding certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP,… more
- ChenMed (Houston, TX)
- …in conjunction with the transitional care team; hospital, SNF, post-acute, delegated utilization management and home-based services for the market. + Performs ... plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation… more
- Elevance Health (Houston, TX)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Community Health Systems (Lufkin, TX)
- …patients and are looking for caring and knowledgeable team members to join us. As a Nurse at WoodlandHeights, you'll play a vital role in doing what you do best - ... hospital census, coordinates admissions, discharges, and transfers, and ensures optimal bed utilization . + Acts as the administrative point of contact for staff,… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- Community Health Systems (Victoria, TX)
- **Why DeTar Hospital - Nursing Careers That Matter** At DeTar Healthcare System, nurses are essential to our mission of delivering high-quality, compassionate care. ... hospital census, coordinates admissions, discharges, and transfers, and ensures optimal bed utilization . + Acts as the administrative point of contact for staff,… more
- UTMB Health (Beaumont, TX)
- …information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and ... to be on standby and work extended or alternate shifts in situations deemed necessary by nurse manager . + Able to work under stress and be emotionally capable of… more
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