- 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
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager Senior** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope… more
- HCA Healthcare (Dallas, TX)
- …corporate level. + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation ... educational training and development for the more than 3,000 case manager , RNs, and social workers involved...Lead centralized case management function, including Clinical Case Management, Utilization Review Services,… 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
- 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 ... insightful analytics to improve the delivery of care._ **Behavioral Health Care Manager II** **Virtual:** This role enables associates to work virtually full-time,… more
- Methodist Health System (Dallas, TX)
- …Day (United States of America) **Job Description :** The CBO Project Manager of Performance Improvement (PMPI) is responsible for measuring performance goals, ... role will assist in measuring CBO quality and productivity and proactively review trends and variances that delay reimbursement. This position will support strategic… more
- Amazon (Dallas, TX)
- …leading examples of innovation in the areas of security, safety, space utilization , efficiency, and cost effectiveness. We are the global team responsible for ... known for changing the face of cloud computing. As a Construction Estimating Manager , you will be responsible for developing and maintaining the cost database, while… more
- Sysco (Lewisville, TX)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… 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
- Molina Healthcare (Fort Worth, 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
- Elevance Health (Grand Prairie, TX)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... + Extensive orthopedic surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. For candidates working… 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
- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- HUB International (Dallas, TX)
- … case status with Producer, Employee Benefit Specialist(s), Account Manager (s), Administrative Assistant(s) and Clients. + Prepare detailed analysis of bids ... have working knowledge of all lines of Group Benefits products in order to review and prepare proposals. + Maintain current and accurate prospect, client, and vendor… more
- Home Care Providers of Texas (Fort Worth, TX)
- …progress. Review evaluation with the care team, patient, family members, physician, and case manager as needed. + Performs PRN visits, and available on call ... as required (about every 3-4 weeks). + Other duties as assigned. Requirements: + Geriatric Home Health Experience + Texas Nursing License + Strong organizational and self-management skills + Strong and compassionate customer service skills + Valid driver's… more