- Healthfirst (TX)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services… more
- CVS Health (Austin, TX)
- …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position...2+ years' experience in critical care + 6+ months case management or utilization management experience +… more
- Houston Methodist (The Woodlands, TX)
- …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
- Houston Methodist (Sugar Land, TX)
- …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... for state, local, and federal programs + Comprehensive knowledge of utilization management, case management, performance improvement, and managed care… more
- HCA Healthcare (Houston, TX)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** The Woman's Hospital ... for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications**...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved… more
- Houston Methodist (The Woodlands, 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
- Select Medical (Frisco, TX)
- …products; candidates will need to be comfortable navigating technology. **Benefits of becoming a Case Manager with us:** Westrive to provide our employees with a ... over 50K employees nationwide with advancement and relocation opportunities **Responsibilities** The Case Manager is responsible for the coordination of health… more
- CVS Health (Arlington, TX)
- …compassionate. And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health** **Position Summary** This is a remote role, requiring ... Texas as well as the surrounding areas. The Clinical Case Manager utilizes advanced clinical judgment and...+ Bilingual. + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management… 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 (Cypress, 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