UNKNOWN

FEED

The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Director Case Managment

Jobvite Talemetry Organic Easy Apply

This leader ensures that provider networks are adequate, efficient, financially sustainable, and aligned with the organization's strategic goals (e.g., value-based care, member access, cost containment). The Dir of Contracting & Network Management is a leadership role responsible for developing, negotiating, and managing provider contracts and networks for the health plan.

YEAR

BrightSpring Health Services

Director of Contracting

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Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers.

ScionHealth

Case Manager II PRN

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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Leads and develops pharmacy clinical services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management, IV to PO, renal dosing and other programs as defined by Pharmacy Leadership.

Clinical Pharmacist Specialist BMT

Clinical Pharmacist Specialist BMT PRN

The Director of Nursing is responsible for supervising and managing the ADON, and entire nursing staff either directly or indirectly. Minimum requirements to perform this position include: Graduation from an Accredited School of Nursing with a Bachelor of Science Degree in Nursing, preferred (BSN).

PACS

Director Of Nursing

Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.

Concentra

Spine Telecommute Medical Review Stream Physician

[AW]-iCims

Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.

Concentra Inc.

Hand Surgeon Medical Review Stream Physician

Neurosurgeon Medical Review Stream Physician

Providing everything from emergency care and advanced surgery to imaging and labor and delivery, our hospital has 16 emergency department beds, two operating suites, and the latest digital and medical technologies. The Care Transitions Navigator will coordinate activities that promote quality outcomes, patient throughput and discharge planning while supporting a balance of optimal care and appropriate resource utilization.

Methodist Health System

Care Transition Navigator Hourly

Job Description: Your Job: The Care Transitions Navigator will coordinate activities that promote quality outcomes, patient throughput, and discharge planning while supporting a balance of optimal care and appropriate resource utilization. Designed to expand as the community grows, we have 11 operating suites, two endoscopy suites, a diagnostic and interventional catheterization lab, and a newly expanded emergency department with 12 exam rooms.

Care Transition Navigator - PRN

Work involves directing psychiatric activities in the state hospital, monitoring trends and activities, has oversight of subordinate psychiatrists and nurse practitioners who diagnose and treat patients, and administers specialized psychiatric treatments and perform procedures. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza.

Texas Health and Human Services Commission

Medical Director

Ability to periodically flex work schedule as indicated by client or hospital needs • Ability to develop and maintain good working relationship with all levels of staff • Ability to communicate in an articulate manner, both verbally and in writing, and demonstrate empathy, flexibility, and objectiveness, and maintains a professional approach to handling confidential information. Hours of Work: Days Of Week: Work Shift: Job Description: Your Job: The Care Transitions Navigator will coordinate activities that promote quality outcomes, patient throughput, and discharge planning while supporting a balance of optimal care and appropriate resource utilization.

Care Transition Navigator PRN

Care Transition Navigator Sal

FULL_TIME

OTHER

RICHARDSON

Director of Nursing

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PART_TIME

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel Healthcare Corporation

Medical Case Manager I

Knight Health Holdings LLC

Must be currently certified and in good standing or obtain certification within twelve (12) months of hire with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA). Responds to Requests for Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management Office of the Inspector General (OPM OIG), State Departments of Insurance (DOI), and other law enforcement agencies, as appropriate.

Parkland Hospital

Clinical Special Investigations Unit Investigator- Health Plan

Position Summary: The LVN/LPN provides compassionate, patient-centered nursing care to individuals experiencing addiction, eating disorders, and co-occurring mental health conditions. Working under the supervision of a Registered Nurse or licensed provider, the LVN/LPN supports safe medication administration, monitors patient health status, and contributes to a collaborative, multidisciplinary treatment environment.

Utilization Management Nurse Jobs in Dallas, TX

Director Case Managment HCA Healthcare

Director of Contracting BrightSpring Health Services

Case Manager II PRN ScionHealth

Clinical Pharmacist Specialist BMT HCA Healthcare

Clinical Pharmacist Specialist BMT PRN HCA Healthcare

Director Of Nursing PACS

Spine Telecommute Medical Review Stream Physician Concentra

Hand Surgeon Medical Review Stream Physician Concentra Inc.

Neurosurgeon Medical Review Stream Physician Concentra Inc.

Care Transition Navigator Hourly Methodist Health System

Care Transition Navigator - PRN Methodist Health System

Medical Director Texas Health and Human Services Commission

Care Transition Navigator PRN Methodist Health System

Care Transition Navigator Sal Methodist Health System

Director of Nursing RICHARDSON

Medical Case Manager I CorVel Healthcare Corporation

Case Manager II PRN Knight Health Holdings LLC

Clinical Special Investigations Unit Investigator- Health Plan Parkland Hospital

Lvn/Lpn Discovery Behavioral Health

LVNLPN Discovery Behavioral Health

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