• Post Holdings Inc. (Wilmer, TX)
    …+ **Technical/Functional Expertise** + Evaluate and make recommendations related to space utilization in campus DC's that store aged/wasted items. + Identify and ... problem. + Maintain Excel spreadsheets containing various data, pallet log, damaged case food shelf loads, Customer Pickups, Invalid/MISSHIP LP's, Pallet Log, etc. +… more
    DirectEmployers Association (10/24/25)
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  • 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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  • Director Utilization Management-Clinical…

    Texas Health Resources (Arlington, TX)
    …professional nursing in the state of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon hire Skills ... Director Utilization Management-Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for… more
    Texas Health Resources (10/16/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …five (5) years recent acute care experience required. Minimum of two (2) years of utilization review / case management experience and minimum of one (1) year ... other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family....and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as… more
    HCA Healthcare (10/13/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, 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 (08/08/25)
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  • Pharmacist, Utilization Management (UM)…

    Molina Healthcare (Fort Worth, TX)
    …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
    Molina Healthcare (10/16/25)
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  • Case Manager Certified - Transition…

    Houston Methodist (The Woodlands, 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 (10/11/25)
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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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  • Case Manager RN PRN

    HCA Healthcare (San Antonio, TX)
    …will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + RN License to ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...encourage you to apply for our Case Manager RN PRN opening. We review all… more
    HCA Healthcare (10/17/25)
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  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
    HCA Healthcare (08/09/25)
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