- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- WNS Global Services (Houston, TX)
- …(2) years of clinical experience and/or in an administrative role *Experience in utilization review , case management, or clinical quality improvement, ... or an alternative application process by emailing ###@healthhelp.com Job Description *Performs utilization review of cases to determine if the request meets… more
- Progeny HR Solutions LLC (El Paso, TX)
- About the job REGISTERED NURSE MANAGER - CASE MANAGEMENT ( RN MGR - NCM) JOB RESPONSIBILITIES- Registered Nurse Manager - Case Management ... RN MGR - NCM Full-Time Registered Nurse Manager candidates for the Case Management...families as needed You will complete accurate and timely utilization review of patient charts to insure… more
- HCA Healthcare (Austin, TX)
- …you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates ... colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and...supporting a balance of optimal care and appropriate resource utilization . You will provide case management services… more
- Vensure Employer Services (Humble, TX)
- …interventions required, while promoting and ensuring optimal client care. The position of Registered Nurse shall be a criteria-based position with well- defined ... is not limited to: Plan of Care and Treatment Physician Orders Case Conference Reports Medication Profiles Client Service Agreements Discharge Summary Ensures that… more
- White Rock Medical Center (Dallas, TX)
- …year of experience in case management, discharge planning, or utilization review preferred. Familiarity with insurance coverage policies including Medicare, ... ensuring appropriate level of care and timely discharge planning. Conduct utilization reviews to evaluate medical necessity and support appropriate resource use… more
- Pyramid Consulting, Inc. (Wolfforth, TX)
- Immediate need for a talented Senior LTSS Service Care Manager ( RN ) . This is a 06+months contract opportunity with long-term potential and is located in Lubbock TX ... (Remote) . Please review the job description below and contact me ASAP...Experience: Key Skills: clinical, acute care, or community and Case management and Spanish. 2+ years of clinical nursing… more
- Your Tailor Made Senior Service (Mckinney, TX)
- …activities to meet the needs of each individual patient Responsible for evaluating utilization of patient services and patient progress Review evaluation with ... Your Tailor Made Senior Service is seeking Registered Nurses with prior OASIS/Medicare Certified Visits for...the care team, patient, family members, physician, and case manager as needed Other duties as assigned Your… more
- Regency Integrated Health Services (Cuero, TX)
- …and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed ... health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands… more
- Healogics (Livingston, TX)
- …Performs other duties as required. Required Education, Experience and Credentials: Current Registered Nurse ( RN ) license to be maintained throughout ... revenues generated by the program. Manages costs through appropriate utilization and management of labor and supply across the...review of clinical practice. As needed, serves as case manager to a group of wound care patients,… more
