- AdventHealth (Mansfield, TX)
- …of a Bachelor's degree program in Nursing. . Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact state. ... and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors… more
- Methodist Health System (Dallas, TX)
- …Your Requirements: * Bachelor's degree in Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience in health ... planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient… more
- Healthfirst (TX)
- …members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The Case Manager, Utilization Management ... The Case Manager, Utilization Management coordinates the care plan...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Elevance Health (Grand Prairie, TX)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** **Location:** Virtual: This role enables... license in applicable state(s) required. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
- HCA Healthcare (San Antonio, TX)
- …**Preferred** : + Master's Degree in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager/supervisor, or manager. ... a day, with full accountability, for the staffing and management of patient care in each of his/her units,...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- Select Medical (Frisco, TX)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Psychologist: ... social workers, and psychology technicians, as well as staff (mental health RN and clinical pharmacists) who are directly supervised through other services. The… more
- Fresenius Medical Center (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment + Ensure proper medical records management and HIPAA compliance + Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. + Ensure adverse events are reported, documented and necessary… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... qualifications you will need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required experience: Minimum of… more