• Utilization Review Case…

    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 ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
    Dallas Behavioral Healthcare Hospital (03/14/25)
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  • Mkt Manager Utilization Mgmt - Texas…

    Catholic Health Initiatives (Houston, TX)
    …where practicing required. * National certification of any of the following: CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... **Responsibilities** The Utilization Management (UM) Manager is responsible...related clinical field * Minimum 5 years of clinical case management ( Utilization Management, Denial Management, Care… more
    Catholic Health Initiatives (05/04/25)
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  • Utilization Review Nurse

    Adecco US, Inc. (Houston, TX)
    …records (EHR) systems is essential. . Preferred certifications include Certified Case Manager (CCM) or Certified Utilization Review Nurse (CURN). **Pay ... & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This...in Texas . 2 to 3 years of clinical nurse/ case management experience . 2 to 3 years of… more
    Adecco US, Inc. (05/01/25)
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  • Trainer - Clinical Services - Utilization…

    Molina Healthcare (Austin, TX)
    …(RN) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and… more
    Molina Healthcare (05/07/25)
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  • Manager - Case Management and Social…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
    Houston Methodist (04/29/25)
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  • System Float Pool - Case Manager…

    Houston Methodist (Houston, TX)
    Case Manager -PRN + 18 shifts in a 6 week period (4 weekend shifts) + Must work 1 major holiday, 2 minor holidays + No benefits No PTO + Must float to all Houston ... - ANCC Recognized Certification -- Case Management-related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED At Houston Methodist, the System Float Pool … more
    Houston Methodist (03/25/25)
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  • Case Manager /RN (PRN) - Willowbrook

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
    Houston Methodist (04/09/25)
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  • Certified Case Manager /RN…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
    Houston Methodist (05/09/25)
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  • Case Manager Advanced

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and ... expert level at all the objectives delineated in the Case Manager and Case ...clinical skill, etc. + Expert knowledge of discharge planning, utilization management, case management, performance improvement and… more
    Houston Methodist (04/18/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    …in Nursing Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital Texsan ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...growth, we encourage you to apply for our RN Case Manager PRN opening. We review… more
    HCA Healthcare (05/01/25)
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