- Catholic Health Initiatives (College Station, TX)
- …2. Clinical Management a. Serves as a clinical resource for utilization management , compliance for the rules and regulations for government, non-government ... be REQUIRED in order to be considered for the Manager , Care Management postion.** + **Must be...Collaborates with Director and staff to implement, monitor and review enhance plans to achieve established for the department.… more
- Healthfirst (TX)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services… more
- Houston Methodist (The Woodlands, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated… more
- Houston Methodist (Cypress, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated… more
- AdventHealth (Burleson, TX)
- …and completes Talent Care accordingly. + Assist with overseeing clinical teams to review utilization and options for product selection. + Assist Director with ... or North Carolina **The role you'll contribute:** The Senior Clinical Resource Manager reports to the Director of Strategic Clinical Resource Management … more
- CenterWell (Longview, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- CVS Health (Arlington, TX)
- …Bilingual. + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and discharge planning ... And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health** **Position Summary** This is a remote role, requiring 75% travel to… more
- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family....approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay… more
- Parsons Corporation (San Antonio, TX)
- …on workflow efficiency, and maintaining research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, ... got what you're looking for. **Job Description:** Parsons is seeking a **Program Manager II** to support Naval Medical Research Unit - San Antonio (NAMRU-SA) and… more
- MD Anderson Cancer Center (Houston, TX)
- …nursing experience in a hospital or clinic setting, to include experience as a case manager , triage nurse, utilization review nurse, call center nurse, or ... Participates fully in all customer service data collection and management processes, using standard or customized software with proficiency...or clinic setting, to include experience as a case manager , triage nurse, utilization review … more