• 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 (10/30/25)
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  • Case Manager - Inpatient Rehab - PRN

    Texas Health Resources (Dallas, TX)
    Case Manager - Inpatient Rehabilitation _Bring your passion to Texas Health So We Are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut Hill ... Management 12 Months Req or ACM - Accredited Case Manager upon hire if LBSW/LMSW 12...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective… more
    Texas Health Resources (10/23/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Dallas, TX)
    …step in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will ... you have the career opportunities as a Registered Nurse Case Manager PRN you want in your...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
    HCA Healthcare (11/19/25)
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  • Behavioral Health - Case Manager

    Texas Health Resources (Arlington, TX)
    …Years Clinical psychiatric or chemical dependency experience Required and * 6 Months in case management or utilization review Required * Prior experience ... Behavioral Health - Case Manager _Bring your passion to...Preferred What You Will Do Daily Payor and Chart Review Activities Identifies those cases requiring certification or re-certification… more
    Texas Health Resources (12/26/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
    Elevance Health (12/24/25)
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  • RN Case Manager

    Erickson Living (Dallas, TX)
    Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that… more
    Erickson Living (11/15/25)
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  • Telephonic Nurse Case Mgr II

    Elevance Health (Grand Prairie, TX)
    **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
    Elevance Health (12/24/25)
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  • Area Loss Prevention Manager (ALPM)…

    Ross Stores, Inc. (Dallas, TX)
    …PURPOSE:** **Ross is always looking for qualified talent for our Area Loss Prevention Manager roles across the Nation, to express your interest please apply to this ... for a particular job function\.** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of...etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop… more
    Ross Stores, Inc. (11/07/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (12/26/25)
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  • Behavioral Health - Care Manager II

    Elevance Health (Grand Prairie, TX)
    …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses… more
    Elevance Health (12/22/25)
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