- Sharecare (Austin, TX)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… 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
- Gentiva (San Angelo, TX)
- …budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain strong relationships ... team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care,...experience in hospice care, home health, or clinical operations management . If you're a natural leader who is passionate… 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
- 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
- Danaher Corporation (Houston, TX)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... nursing , emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This position… more
- UTMB Health (Mart, 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
- Catholic Health Initiatives (The Woodlands, TX)
- …or a Master's degree in Case Management , or Master's Degree Nursing TX RN License **Licensure/Certifications:** Registered Nurse (RN) license **Where You'll ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...to achieve optimal outcomes through the tools of case management . The case manager will perform a… more
- Catholic Health Initiatives (Lake Jackson, TX)
- …or a Master's degree in Case Management , or Master's Degree Nursing TX RN License **Licensure/Certifications:** Registered Nurse (RN) license **Where You'll ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...to achieve optimal outcomes through the tools of case management . The case manager will perform a… more
- UTMB Health (Galveston, TX)
- …the division as a regional referral center for complex infectious disease management and antimicrobial stewardship. **INSTITUTIONAL CONTEXT** UTMB is a $3.5 billion ... in 1891 as Texas's first medical school, comprising Schools of Medicine, Nursing , Health Professions, Public and Population Health, and a Graduate School of… more