- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...+ Minimum 2 years of precertification experience + Certified Case Manager , preferred + 3-5 years of… more
- 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
- CVS Health (Dallas, TX)
- …Assessment of Members: -Through the use of care management tools and information/data review , the Case Manager conducts comprehensive evaluation of referred ... assessment, clinical writing and communication skills are required. The Case Manager is responsible for conducting face...barriers to meet goals and objectives; presents cases at case conferences to obtain multidisciplinary review in… more
- ABM Industries (Dallas, TX)
- **Overview** An Assistant General Manager , as the senior member of the General Manager 's Staff, is charged with the responsibility of organizing and directing ... major duties to be performed by each Assistant General Manager . **Benefit Information:** ABM offers a comprehensive benefits package....and the resolution of the problem. + Monitor and review on a daily basis all required logs, for… more
- 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
- IBM (Dallas, TX)
- …vended spend Additional KPIs related to Scorecarding/OKRs, Effective Technology Asset Utilization and Project Optima will be identified between the selected ... candidate and their direct Manager . Primary responsibilities for this role include the following:...staging and spare-parts inventory, * Enhancing cloud technology asset utilization , and streamlining internal IBM Cloud processes, such as… more
- HCA Healthcare (Dallas, TX)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient ... and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services. +… more
- Molina Healthcare (Dallas, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified… more
- Children's Home Healthcare (Richardson, TX)
- …RN LICENSE* Children's Home Healthcare is now hiring for a Hybrid RN Clinical Supervisor/ Case Manager ! Children's HH is the premier leader in Pediatric Home ... for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional Services. 8.… more
- US Foods (Garland, TX)
- …through the following: consultative services to aid customers through improved utilization of the fresh categories; SOUS training; conducting product demonstrations ... and menu ideas prioritized for top penetration opportunities to achieve Market/Area case growth objectives for category, as well as, realize Exclusive Brand (EB)… more
- Methodist Health System (Dallas, TX)
- …rendered care. This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients ... that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of all patient complaints, and asks for assistance if… more
- Baylor Scott & White Health (Rowlett, TX)
- …office personnel, associates, case managers, and others. Works with third-party payer review personnel to expedite the utilization review process. This ... performance. Oversees a larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors reporting to them.… more