• Director, Comprehensive Care Management

    Baylor Scott & White Health (Dallas, TX)
    …or related field preferred. Master's degree preferred. 2. 5+ years of experience in case management, social work, utilization review, or related field. 3. 1+ ... function of Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient access, utilization… more
    Baylor Scott & White Health (11/15/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient ... The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payors, and other referral sources. The Clinical… more
    HCA Healthcare (09/27/25)
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  • Chief Medical Officer

    CenterWell (Arlington, TX)
    …care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Represent CenterWell/Conviva brands in local communities and ... in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care,… more
    CenterWell (11/12/25)
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  • Sr. Clinical Sales Executive - Central Region

    Danaher Corporation (Houston, TX)
    …some of the following: infection detection/control, sepsis care, decision support, utilization management, case management, ED patient workflow, antibiotic ... is required. This position reports to the Sr. National Clinical Sales Manager and is part of Beckman Coulter Diagnostics commercial organization working remotely… more
    Danaher Corporation (10/19/25)
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  • Scheduler Lead

    HCA Healthcare (Houston, TX)
    …Summary and Qualifications** Under the general supervision of the Pre-Admit Manager , performs support services for the department, assigned clerical, secretarial, ... and related responsibilities, promoting communication between the Director, Manager , medical staff, hospital staff, and patients. Provides effective scheduling by… more
    HCA Healthcare (10/13/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Kerrville, TX)
    …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
    Elevance Health (10/16/25)
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  • Surgical Onsite Specialist (The Woodlands, TX)

    Medtronic (Houston, TX)
    …the Life** The Surgical Onsite Specialist (SOS) is responsible for providing case support and customer support, training and education, and solution implementation ... Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing… more
    Medtronic (11/13/25)
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  • VP, Healthcare Services

    Molina Healthcare (TX)
    …must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... services professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services… more
    Molina Healthcare (11/15/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies… more
    Molina Healthcare (11/14/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (The Woodlands, TX)
    …role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety ... of patients across the continuum of illness; promote effective utilization ; monitor health care resources; and assume a leadership...provision of services necessary to meet those needs. The case manager must be knowledgeable in community… more
    Catholic Health Initiatives (11/06/25)
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