- 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 ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Baylor Scott & White Health (Dallas, TX)
- …or related field preferred. Master's degree preferred. 2. 5+ years of experience in case management, social work, utilization review , or related field. 3. ... Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient...years of experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed… more
- Molina Healthcare (Houston, TX)
- …education and experience. * At least 7 years health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Office suite (including Excel), and applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Deloitte (Dallas, TX)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- AdventHealth (Mansfield, TX)
- …performance with oversight to assure capital and fiscal accountability. + Partners with Utilization Management for the Utilization Review Committee as well ... closely with physicians and the campus leadership team on utilization / case management issues. Actively participates in outstanding...program in Nursing. Currently licensed to practice as a Registered Nurse in the state of Texas,… more
- HCA Healthcare (Dallas, TX)
- …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services. +… more
- Datavant (Austin, TX)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers ... The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors… more
- Sharecare (Austin, TX)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
- Houston Methodist (Houston, TX)
- …EXPERIENCE** + Two years Transplant Coordinator experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Transplant Recovery Nurse position leads organ procurement services required for transplantation and manages the peri-operative phase of… more
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