- Molina Healthcare (Fort Worth, TX)
- …**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... efficient quality care and achievement of desired treatment outcomes. The CM Certified position holds joint accountability with social workers for discharge planning… 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 ... efficient quality care and achievement of desired treatment outcomes. The CM Certified position holds joint accountability with social workers for discharge planning… more
- Molina Healthcare (TX)
- …the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Houston Methodist (Sugar Land, TX)
- …Work Case Manager (NASW) -- If Social Worker within 1 year **OR** + CCM - Certified Case Manager -- If Social Worker within 1 year **OR** + ACM - Accredited ... medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social...Licensure -- If Social Worker **AND** + C-SWHC - Certified Social Worker in Health Care (NASW) -- If… more
- Houston Methodist (Houston, TX)
- …Licensed Medical Social Worker - State Licensure within 1 year **AND** + CCM - Certified Case Manager within 1 year **OR** + ACM - Accredited Case ... At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for...improvements as needed. + Drives and establishes relationships with medical staff, promotes teamwork while ensuring patient care issues… more
- HCA Healthcare (Mckinney, TX)
- …required + 2 years of critical care experience preferred + Certification in case management preferred + InterQual experience preferred Medical City McKinney ... a place to deliver excellent care patients deserve? At Medical City McKinney we support our colleagues in their...their positions. Join our Team as a Registered Nurse Case Manager and access programs to assist with every… more
- Houston Methodist (Houston, TX)
- …This position has achieved an expert level at all the objectives delineated in the Case Manager and Case Manager Certified job roles and is responsible ... At Houston Methodist, the Case Manager (CM) Advanced position is a registered...efficiencies to improve the quality of information in the medical record. + Performs chart audits to assess compliance… more
- HCA Healthcare (Georgetown, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Austin, TX)
- …of practice according to law and regulation + Certification in Case Management - preferred St. David's Medical Center (https://stdavids.com/location/st-davids- ... have the PRN career opportunities as a Registered Nurse Case Manager PRN you want with your current employer?...of being both a Primary Stroke Center and a Certified Chest Pain Center. St. David's Medical … more