- 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
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/registered-nurse- case - manager ... MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER:...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- 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
- 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
- Healthfirst (TX)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services… more
- 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
- HCA Healthcare (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... to make a real impact. As a(an) Registered Nurse Case Manager you can be a part...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- 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
- 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 (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... 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 (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... 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
- CVS Health (Austin, TX)
- …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position...2+ years' experience in critical care + 6+ months case management or utilization management experience +… more
- Prime Healthcare (Harlingen, TX)
- …care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... Overview We are seeking an RN Case Manager , also referred to...to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of… more
- HCA Healthcare (Kingwood, TX)
- …apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare ... and empowers their passion for patient care. Apply today for our Registered Nurse RN Case Manager opportunity. **Job Summary and Qualifications** The RN case … more
- 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 ... our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be a part… more
- HCA Healthcare (Fort Worth, 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 (Lewisville, TX)
- …your next step in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a RN Case Manager you want in your current...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- 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