- 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 ... to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/registered-nurse-case- manager utilization ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN Compensation + Medical Insurance… more
- 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 and optimal health… more
- ZOLL Medical Corporation (Houston, TX)
- …hospital systems, and sleep centers to support program adoption and drive therapy utilization . The Territory Manager is accountable for meeting sales targets, ... managing accounts, and coordinating cross-functional resources to ensure successful territory development and long-term customer satisfaction.Essential Functions + Open new Central Sleep Apnea programs to include the Heart Failure Specialists,… more
- MTC (Anson, TX)
- …rotation. + Refer patients for specialty consultations and treatment through the utilization manager process. + Utilize established corporate, facility and ... Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply with… more
- MTC (Raymondville, TX)
- …rotation. 4. Refer patients for specialty consultations and treatment through the utilization manager process. 5. Utilize established corporate, facility and ... all potential catastrophic illnesses. 9. Implement basic cost containment and utilization management for patient care and facility operations. 10. Comply with… more
- Guardian Life (Plano, TX)
- …as needed (eg Specialty Referral Guidelines) with guidance from the Quality and Utilization Management Manager . + Demonstrate expertise in QMP processes and ... product and to assume responsibility for the functions of utilization management and utilization review, as requested by the Dental Director, Clinical Review.… more
- CVS Health (Austin, TX)
- …(RN) states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face ... heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's...in critical care + 6+ months case management or utilization management experience + Must be able to work… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as… more
- Wayfair (Houston, TX)
- … Manager to support guests across channels (virtual, in-store) and optimize Designer utilization . + Partner with the Store Manager and other store Leads ... Assistant Store Manager , Sales Lead Location: Houston, TX Brief Overview...of it! We are looking for an Assistant Store Manager , Sales Lead to oversee all Sales functions for… more