- Houston Methodist (The Woodlands, TX)
- …for state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and ... (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
- Houston Methodist (Houston, TX)
- …and eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation… more
- Zurich NA (Austin, TX)
- …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
- UTMB Health (Friendswood, TX)
- …ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical ... + Supervises the operational management of the Utilization Review/ Case Management program to...Standard office equipment. **_WORK ENVIRONMENT_** **:** + May involve travel . + May involve occasional shift work and weekends… more
- Houston Methodist (Sugar Land, TX)
- …(MSW) + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or ... to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and… more
- Houston Methodist (Houston, TX)
- …Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work department. This position is an integrated, ... entity committees as a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and operational plans, and overall… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals ...administrative duties of a higher complexity in support of Case Management operations. In addition, the CM… more
- CVS Health (Dallas, TX)
- …compassionate. And we do it all with heart, each and every day. **Analyst, Case Management - Field, Texas** + Schedule is Monday-Friday, standard business hours ... to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- CVS Health (Dallas, TX)
- …we do it all with heart, each and every day. **Position Summary** **Texas Case Management Coordinator** Schedule is Monday-Friday, standard business hours Local ... to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- HCA Healthcare (Dallas, TX)
- …in 21 states and the United Kingdom. We are looking for a Manager of Case Management for our Medical City Dallas team where excellence creates excellence. ... Do you want to be an influencer in healthcare? **Apply for our Manager of Case Management role today!** **Job Summary and Qualifications** + The Manager for … more