• 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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  • Case Manager (RN) - 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 (02/08/25)
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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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  • 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 Certified | Registered…

    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 (04/22/25)
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  • Pharmacist, Utilization Mgmt (CA & WA)

    Molina Healthcare (Austin, 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 (05/02/25)
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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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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital ... 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 opening. We promptly review all… more
    HCA Healthcare (04/18/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital Stone ... join an organization that invests in you as a(an) Case Manager RN? At Methodist Hospital Stone...and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of… more
    HCA Healthcare (04/23/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly ... like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (05/04/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly ... you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (05/02/25)
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  • Case Manager RN

    HCA Healthcare (Fredericksburg, TX)
    …of hire date.) + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + Minimum of 3 years ... our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Hill Country you can be a… more
    HCA Healthcare (04/06/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Corpus Christi, TX)
    …Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager ? At Corpus Christi Medical Center Bay Area, you come first. HCA ... difference. We are looking for a dedicated Registered Nurse Case Manager like you to be a...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (04/27/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Brownsville, TX)
    …you want to join an organization that invests in you as a(an) Registered Nurse Case Manager ? At Valley Regional Medical Center, you come first. HCA Healthcare ... difference. We are looking for a dedicated Registered Nurse Case Manager like you to be a...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (04/02/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Tomball, TX)
    …we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of your career. ... and job skills. Apply today for our Registered Nurse Case Manager opening and continue to learn!...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (03/20/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Weatherford, TX)
    …to you, we encourage you to apply for our Registered Nurse Case Manager PRN opening. Our team will promptly review your application. Highly qualified ... their positions. Join our Team as a Registered Nurse Case Manager PRN and access programs to...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
    HCA Healthcare (04/18/25)
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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 (04/17/25)
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