- Parkland Health and Hospital System (Dallas, TX)
- …regulatory requirements, quality within the clinical team. This role ensures adherence to regulatory and accreditation standards while fostering continuous ... The Clinical Program Manager is responsible for tracking and monitoring regulatory deliverables, supporting the health services (physical health and behavioral… more
- Highmark Health (Austin, TX)
- …+ Experience in UM /CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN license ... discipline. + Function in accordance with applicable state, federal laws and regulatory compliance. + Function in accordance with applicable state, federal laws and… more
- Highmark Health (Austin, TX)
- … UM /CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure required. Additional specific state licensure(s) may be required ... discipline. + Function in accordance with applicable state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and… more
