• Case Manager and Utilization…

    Scottish Rite for Children (Dallas, TX)
    …We're committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... effective communication with patient care team members related to utilization management + Verify medical necessity of...and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +… more
    Scottish Rite for Children (05/23/25)
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  • Case Manager (RN) - Utilization…

    Houston Methodist (The Woodlands, TX)
    …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN)...registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
    Houston Methodist (05/30/25)
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  • Utilization Review Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,...state, local, and federal programs + Progressive knowledge of utilization management , case management , performance… more
    Houston Methodist (05/20/25)
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  • Utilization Management - Specialty…

    CVS Health (Austin, TX)
    …information is necessary and will involve computer system data entry, data management , and reporting. + Review criteria-based prior authorizations following ... Aetna Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager , you will work with physician office staff and customer service,… more
    CVS Health (06/01/25)
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  • Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Austin, TX)
    …full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices ... and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected...should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance,… more
    BAYADA Home Health Care (05/17/25)
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  • Manager - Case Management & Social…

    Houston Methodist (Sugar Land, TX)
    …other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims Review , Precertification and ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to… more
    Houston Methodist (04/24/25)
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  • Senior Manager , Digital Product…

    7-Eleven (Irving, TX)
    Senior Manager , Digital Product Management - Retail Media Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/Sr- Manager ... a lasting change, and that change starts with you. Responsibilities of a Senior Manager , Product Management for Retail Media include : + Retail Media Strategy… more
    7-Eleven (04/22/25)
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  • RN Manager Case Management

    HCA Healthcare (El Paso, TX)
    …Come build your career with us! **Job Summary and Qualifications** The Case Management Manager works in conjunction with other members of the interdisciplinary ... **Description** **Introduction** We are seeking a(an) RN Manager Case Management with Del Sol...as needed + You will complete accurate and timely utilization review of patient charts to insure… more
    HCA Healthcare (04/10/25)
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  • Senior Manager , IT & Technology Risk…

    Capital One (Plano, TX)
    Senior Manager , IT & Technology Risk Management (Auto Finance) At Capital One, we're building a leading information-based technology company. We think big and do ... process risks to the enterprise. + As a Sr. Manager of Technology Risk Management , you will...educate and gain buy-in from key stakeholders concerning the utilization of process to ensure appropriate execution each time.… more
    Capital One (04/19/25)
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  • Senior Project Manager - K-12 Construction…

    Turner & Townsend (Houston, TX)
    …and termination. + Effectively recommends same for direct reports to next level management for review and approval. + Plans and monitors appropriate staffing ... part of Turner & Townsend. It specializes in project and program management for public sector organizations, with industry-leading experts in corporate, cultural,… more
    Turner & Townsend (05/06/25)
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