- Elevance Health (Grand Prairie, TX)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Elevance Health (Grand Prairie, TX)
- …with providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... The **Nurse Case Manager II** is responsible for care management within the scope of licensure for members with...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Houston Methodist (Houston, TX)
- …ascertain case duration timeframes, and respond accordingly. Provides input regarding OR block utilization and management . + Reviews the OR schedule in advance ... departments, vendors, surgeons, anesthesia, and Operating Room (OR) staff, assisting management with the coordination and facilitation of care, process improvement,… more
- Baylor Scott & White Health (Temple, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to achieve ... supports ongoing problem solving related to care coordination, discharge planning, case management and utilization review. Monitors processes and systems to… more
- M. C. Dean (Dallas, TX)
- …evaluating policies and procedures; developing processes for receiving product, equipment utilization , inventory management , and shipping. + Develops project ... RTV, Purges, Holds etc.) + Implement MCD and Contractual obligations towards management of Owner Furnished Equipment (OFE) + Attends weekly project team meeting… more
- 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 retrospective ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed. + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . + ... functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . ... hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA and other… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . ... hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA and other… more
- Baylor Scott & White Health (Plano, TX)
- …ROLE** Works with providers, departmental administration, making decisions to maximize provider utilization , and other management staff to create and/or revise ... role is the central point of communication for the utilization of all providers (greater than 40) within the...and/or clinical support ideas. Communicates with scheduling staff and management teams in a clear and professional manner any… more