• Utilization Review Nurse - Case Management…

    Houston Methodist (The Woodlands, TX)
    …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
    Houston Methodist (07/12/25)
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  • Case Management Representative - Full Time…

    Houston Methodist (The Woodlands, TX)
    …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case more
    Houston Methodist (08/15/25)
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  • Intensive Community Manager (RN)

    ChenMed (Houston, TX)
    …in community case management experience highly desired. + Certified Case Manager certification is preferred. Certification through the Commission for ... is mandatory during all LPN visits. + Conducts/coordinates initial case management assessment of patients to determine outpatient... Case Manager Certification (CCMC) or the American… more
    ChenMed (06/12/25)
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  • Psychology Program Manager - Edrp,…

    Veterans Affairs, Veterans Health Administration (Fort Worth, TX)
    …Program Manager /Clinical Director and supervisory psychologist on an interdisciplinary, outpatient mental health team (ie, a BHIP team) or specialty mental ... to the level of health care provided by this agency. As the Program Manager /Clinical Director for an outpatient mental health team, the incumbent has broad… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Nurse Manager Surgery BAMC

    HCA Healthcare (Corpus Christi, TX)
    …you passionate about delivering patient-centered care?** Submit your application for Nurse Manager Surgery BAMC position and spend more time at the bedside with ... or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Corpus Christi Medical Center… more
    HCA Healthcare (08/08/25)
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  • Manager Coding Operations

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Manager Coding Operations position is responsible for the day-to-day operations of managing the inpatient/ outpatient coding staff and ... will identify and resolve issues impeding workflow or coding process. The Manager , Coding Operations position works collaboratively with the other Coding management… more
    Houston Methodist (07/18/25)
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  • Senior Client Coding Project Manager

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... experience. + Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS, CRC, or...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (06/28/25)
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  • Care Manager MSW

    Covenant Health (Lubbock, TX)
    **Description** **Care Manager MSW** **Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Medical Center and thrive in our ... and retain the best people, we must empower them.** **The Care Manager MSW provides professional, comprehensive patient centric care management services for at… more
    Covenant Health (08/08/25)
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  • Outsourcing & Strategic Initiatives Manager

    Prime Healthcare (Farmers Branch, TX)
    …Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits ... seeking new members to join our corporate team! Responsibilities The Manager Outsourcing and Strategic Initiatives will be responsible for providing day-to-day… more
    Prime Healthcare (06/20/25)
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  • Manager , HCS Operations Support

    Molina Healthcare (TX)
    …of the following activities: care review/utilization management (prior authorizations, inpatient/ outpatient medical necessity, etc.), case management, transition ... of care and quality of Molina services provided. * Functions as hands-on manager responsible for supervision and coordination of daily activities. * Ensures adequate… more
    Molina Healthcare (08/16/25)
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