- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... will drive the future of health care The **Telephonic Nurse Case Manager II** is responsible for...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements** + Requires… more
- Fresenius Medical Center (Farmers Branch, TX)
- …and maintained according to records management guidelines. + Acts as the Facility Manager in the absence of the manager or at the direction of organization ... **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the...physician and patient relations, cost containment, supply management, medical records , patient billing, OSHA and all company, state and… more
- Fresenius Medical Center (Del Rio, TX)
- **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the facility operations and patient procedures to ensure provision ... equipment, physician and patient relations, cost containment, supply management, medical records , patient billing, OSHA and all company, state and federal… more
- ChenMed (Houston, TX)
- …and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic emergency triage directional patient care ... and questions patients to collect health history and uses a computer system to record and store comprehensive and focused data relating to the health needs of… more
- Molina Healthcare (San Antonio, TX)
- …billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement ... of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and… more
- Elevance Health (TX)
- …and quality of life through home-care and community based services The **Triage Nurse I - Carebridge - Bilingual** is responsible for determining the appropriate ... preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical information and… more
- HCA Healthcare (Dallas, TX)
- …us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical City Dallas, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job Summary and Qualifications**… more
- Houston Methodist (The Woodlands, TX)
- …Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Houston Methodist (Cypress, TX)
- …Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Centene Corporation (San Antonio, TX)
- …Licensure required or + NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification ... to competitive benefits including a fresh perspective on workplace flexibility. **Care Manager RN - STAR Plus** **LTSS Comprehensive Care Screening Team** **REMOTE… more