- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Adecco US, Inc. (Houston, TX)
- …electronic health records (EHR) systems is essential. . Preferred certifications include Certified Case Manager (CCM) or Certified Utilization Review Nurse ... & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is...in Texas . 2 to 3 years of clinical nurse/ case management experience . 2 to 3 years of… more
- Catholic Health Initiatives (Houston, TX)
- …where practicing required. * National certification of any of the following: CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... **Responsibilities** The Utilization Management (UM) Manager is responsible...related clinical field * Minimum 5 years of clinical case management ( Utilization Management, Denial Management, Care… more
- Molina Healthcare (San Antonio, TX)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... who be licensed in the state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case...submission, timely timecard approval, etc.). + Supports maximization of Case Mgmt. system utilization , including length of… more
- Houston Methodist (Houston, TX)
- Case Manager -PRN + 18 shifts in a 6 week period (4 weekend shifts) + Must work 1 major holiday, 2 minor holidays + No benefits No PTO + Must float to all Houston ... - ANCC Recognized Certification -- Case Management-related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED At Houston Methodist, the System Float Pool … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and ... expert level at all the objectives delineated in the Case Manager and Case ...clinical skill, etc. + Expert knowledge of discharge planning, utilization management, case management, performance improvement and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion for...in Nursing Prefer at least one year experience in utilization review, resource management, discharge planning or case… more
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