- Houston Methodist (The Woodlands, 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) PRN position is a...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation… more
- Houston Methodist (Sugar Land, TX)
- …and eligibility for state, local, and federal programs + Comprehensive knowledge of utilization management , case management , performance improvement, and ... national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of… 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 (The Woodlands, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management ... and social work department staff to facilitate efficient utilization of resources and discharge planning. This position performs...of duties of a higher complexity in support of Case Management operations including referrals management… 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)
- …based on member preference. Local travel : 75% Position Summary: + The Case Management Analyst will develop, implement, support, and promote health service ... our members. + Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- Houston Methodist (Sugar Land, TX)
- …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This… more
- Houston Methodist (Cypress, TX)
- …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated… more
- Houston Methodist (Houston, 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
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