- 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 ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and...encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified… more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge ... healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston...care experience required. Minimum of two (2) years of utilization review /case management experience and… more
- 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
- USAA (Plano, TX)
- …of what truly makes us special and impactful. **The Opportunity** This **Product Management Manager ** is an individual contributor role accountable for managing ... on deepening member relationships by driving increased card penetration, activation, and utilization . This role will leverage internal and external data, a strong… more
- Molina Healthcare (TX)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... 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
- Covenant Health (Lubbock, TX)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... Manager RN provides professional, comprehensive, patient centric care management services for at risk patients in an acute...of hire. + 1 year of experience in care management or utilization review in… more
- Houston Methodist (Houston, 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
- Houston Methodist (Nassau Bay, TX)
- …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse...licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated… more
- Wellpath (Mckinney, TX)
- …The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites and states. ... or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- CenterWell (Austin, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more