- CenterWell (Houston, TX)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses,...action plans that will reduce acute and post-acute care utilization . + Solicits/shares feedback with market leaders on team-based… 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
- 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
- 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
- MD Anderson Cancer Center (Houston, TX)
- …experience in a hospital or clinic setting, to include experience as a case manager , triage nurse, utilization review nurse, call center nurse, or related ... hospital or clinic setting, to include experience as a case manager , triage nurse, utilization review nurse, call center nurse or related experience. Experience… more
- Houston Methodist (Sugar Land, 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
- Cushman & Wakefield (Plano, TX)
- …site strategy support related to space and occupancy analysis, solution outcomes and utilization metrics. As an FF&E Manager , the role is responsible for ... **Job Title** Occupancy Planner & FF&E Manager **Job Description Summary** The Occupancy Planner's primary...enhance operational efficiency, service delivery, cost savings, and asset utilization + Provides support on ad hoc Strategy &… 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 Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… more
- AdventHealth (Mansfield, TX)
- …of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors these ... ages, and a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who adheres to the goals,… more