- HCA Healthcare (Corpus Christi, TX)
- …in this role: + Actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization, ... **Description** **Introduction** Corpus Christi Medical Center is committed to investing in the...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Corpus Christi, TX)
- …in this role:** + Actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization, ... that invests in you as a(an) Registered Nurse Case Manager PRN? At Corpus Christi Medical Center, you come first. HCA Healthcare has committed up to $300 million in… more
- San Antonio Behavioral Health (San Antonio, TX)
- …management and communication to ensure effective and efficient department operation . Review caseloads regularly to ensure appropriate utilization of services . ... When patient needs are not met, acknowledge and work to resolve complaints . Review caseloads regularly to ensure appropriate utilization of services . Monitors… more
- CVS Health (Austin, TX)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- HCA Healthcare (El Paso, TX)
- …with patients and/or families as needed + You will complete accurate and timely utilization review of patient charts to insure appropriate utilization of ... seeking a(an) RN Manager Case Management with Del Sol Medical Center to promote growth and unlock possibilities. At...come make a difference with us! **Benefits** Del Sol Medical Center, offers a total rewards package that supports… more
- Datavant (Austin, TX)
- …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- HCA Healthcare (Austin, TX)
- …interdepartmental service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the ... 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
- MD Anderson Cancer Center (Houston, TX)
- …or treatment team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences ... operations. Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers,… 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 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 (Houston, TX)
- …integrates national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + ... 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