- Molina Healthcare (Houston, TX)
- …Active, unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. + One year… more
- HCA Healthcare (Houston, TX)
- …apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare ... for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications**...care experience required. Minimum of two (2) years of utilization review/ case management experience and minimum of… more
- Molina Healthcare (Dallas, TX)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... and quality initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and cost control issues… more
- Texas Health Resources (Arlington, TX)
- …professional nursing in the state of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon hire Skills ... Director Utilization Management-Clinical Review _Are you looking for a...system services for wholly owned and Partner hospitals for utilization management. Job Duties OPERATIONS: Plans, organizes and delegates… more
- Houston Methodist (Nassau Bay, TX)
- …needed for rotating weekend days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (Fort Worth, TX)
- …experience as an RN Case Manager or SW Case Manager with responsibility for discharge planning and utilization resources. Competent in data analysis; ... projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +...+ Provides leadership for all areas of the RN Case Manager and Social Worker roles. +… more
- Baylor Scott & White Health (Dallas, TX)
- …medical documentation systems. + Case management certifications, such as Certified Case Manager , are beneficial but not necessary for this position. ... resolutions to fit their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved...we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications.… more
- HCA Healthcare (Dallas, TX)
- …nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… 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
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