- SAM LLC (El Paso, TX)
- …Manager . A Phase Manager also serves as the backup to their Project Manager , assisting with billing review , and proposal writing and review . + Execute ... responsible for oversight and reporting on spending and budget, utilization of resources, tracking deliverables, handling of field and... also serves as the backup to their Project Manager , assisting with billing review , and proposal… 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 and Value… 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
- 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 and… 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
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… 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
- CVS Health (Arlington, TX)
- …Field Experience. + Bilingual. + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and discharge ... 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 (San Antonio, TX)
- …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...we encourage you to apply for our RN Case Manager PRN opening. We review all applications.… more