• Lead Information Security Engineer

    Lumen (Austin, TX)
    …show value and improvement for technologies and processes. + Create and analyze utilization statistics of systems to identify causes for system degradations as well ... as recommend required system enhancements for business case and budget approval. + Perform upgrading, patching, hardening, user access permissions, and routine… more
    Lumen (09/30/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Mesquite, 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 (08/23/25)
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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 (07/12/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral… more
    Molina Healthcare (09/26/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (Lake Jackson, 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 (08/22/25)
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  • Discharge Planner

    Prime Healthcare (Mission, TX)
    …information, and help develop safe, patient-focused discharge plans under the guidance of the Case Manager /Social Worker + C ase Management Support - assist ... Additional Required Knowledge, Skills & Abilities: + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both… more
    Prime Healthcare (10/01/25)
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  • Field Clinical Specialist, Dallas East…

    Edwards Lifesciences (Dallas, TX)
    …will make an impact:** + Working independently in the areas of valve crimping, case management, pre- case planning, post- case management, 3 Mensio management, ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...and crimping of the Sapien valve in each assigned case ; to support Physicians in the THV procedure to… more
    Edwards Lifesciences (09/18/25)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Mckinney, TX)
    …Medical Center, Garland/McKinney,** **5252 W University Dr, McKinney, 75071** **DEPARTMENT: Case Management, Manager Comprehensive Care, RN** **SHIFT: Fulltime, ... upon position type and/or level **Job Summary** As the Manager of Comprehensive Care, you will manage a team...ongoing issues tied to patient care coordination, discharge planning, case management, and utilization review. + Monitor… more
    Baylor Scott & White Health (09/03/25)
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  • Cardiologist

    ChenMed (Houston, TX)
    …a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation… more
    ChenMed (10/03/25)
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  • Medical Director

    Elevance Health (TX)
    …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (09/29/25)
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