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Within the case management role, within the scope of licensure will assess, develop, implement coordinate, monitor, and evaluate care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their specific health needs. Within the medical management role will collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical transplant issues.

Elevance Health

Transplant Nurse II

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The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

YEAR

Telephonic Nurse Case Manager II

With advanced technology, patient-centered design, and a new ninth operating room added in 2025, Methodist Mansfield delivers high-quality, innovative care across services including Level III Trauma, NICU, and Maternal Care. Methodist Mansfield Medical Center is a 294-bed, full-service acute-care hospital serving North Texas and certified as an Advanced Primary Stroke and Heart Attack Center by The Joint Commission.

Methodist Health System

Care Transition Navigator - Care Management

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FULL_TIME

Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

AmTrust Financial Services, Inc.

Medical Case Manager (Registered Nurse)

[AW]-iCims

Position Overview: Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health Inc

Nurse Case Manager I

Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.

Vital Care Infusion Services

Collections Specialist - Revenue Cycle Management

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The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.

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

RN Case Manager

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Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA Healthcare Medical City Arlington is a 435+ bed full-service hospital located in south Arlington. The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team.

HCA Healthcare Inc

RN Case Manager PRN

Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.

Centene Management Company

RN, Senior LTSS Service Care Manager

Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits. Duties and Responsibilities : Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.

CenterWell

Bilingual Clinical Care Nurse (RN)

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Evaluate quality and continuity of care by analyzing acuity levels, resource consumption, and discharge planning.

HOUR

Pyramid Consulting, Inc

Clinical - Clinical Review Nurse - Concurrent Review

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In collaboration with other members of the healthcare team, this role is responsible for organizing, coordinating, and providing care coordination and care management services to clients who are receiving private duty nursing services (PDN) from Angels of Care. Communicate client needs with AOC teams including Triage team, Intensive Case Management Team, and Clinical Care Managers (CCM's) on all aspects of client's care needs.

Nursing Solutions

Bilingual Nurse Navigator

Senior LTSS Service Care Manager RN

With the resources and experience of HCA Healthcare, including 186 hospitals in the United States and England, Medical City Healthcare is one of the North Texas region's largest and most comprehensive healthcare providers and includes 16 hospitals, about 5000 working physicians, and more than 17,000 employees in Dallas-Fort Worth. What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date Nonviolent Crisis Intervention must be obtained within 30 days of employment start date Associate Degree Benefits Medical City Alliance Mental Health, offers a total rewards package that supports the health, life, career and retirement of our colleagues.

Mental Health House Supervisor - RN

Baylor Scott & White Medical Center - Sunnyvale is seeking a dedicated Critical Care Nurse Educator to collaborate with department managers and unit leaders in assessing, planning, implementing, and evaluating orientation, competency validation, and continuing education programs for nursing staff. This role develops and delivers educational programs, evaluates staff competencies, facilitates professional development, and collaborates with nursing leadership to ensure excellence in clinical practice and patient outcomes.

Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans. Since 2003, Tenet's Commitment to Quality has improved the quality of medical care and patient safety at its hospitals and other businesses by evaluating processes and promoting best practices. As the world in which Tenet operates continues to change, Tenet's Commitment to Quality will remain focused on quality, the growing quality gap relative to top performers in the industry, and the fact that payers and employees use quality as a distinguishing factor. Visit the Quality Care page for more information. Tenet has taken the lead in addressing the needs of the uninsured through its Compact With Uninsured Patients. Established in 2003, the Compact focuses on treating patients without insurance fairly and with respect during and after their treatment, regardless of their ability to pay. Tenet also is committed to working with its patients through financial counseling and alternative payment options.

Tenet Healthcare Corp

Critical Care Nurse Educator

Working within a complex clinical delivery model in a high-growth environment, our Manager, Clinical Stewardship Operations has to expertly navigate ambiguity while managing internal and external teams in a detail-oriented, organized and structured manner, all while ensuring we deliver on time and exceed client expectations. Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors.

Twin Health

Manager, Clinical Stewardship Operations (RN)

GreenHouseAPI

This role supports members, providers, infusion centers, specialty pharmacies, and health plans by facilitating benefit navigation, treatment coordination, member education, and timely access to medically necessary infusion services. By curating a Network of Excellence comprised of the nation''s top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces.

Employer Direct Healthcare Inc

Infusion Care Specialist LVN

Minimum 2 years of experience in utilization management, case management, chronic care management, discharge planning, transitions of care management, cost/quality management program, and/or other related field. Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement.

Utilization Management Nurse Jobs in Dallas, TX

Transplant Nurse II Elevance Health

Telephonic Nurse Case Manager II Elevance Health

Care Transition Navigator - Care Management Methodist Health System

Medical Case Manager (Registered Nurse) AmTrust Financial Services, Inc.

Nurse Case Manager I Elevance Health Inc

Collections Specialist - Revenue Cycle Management Vital Care Infusion Services

RN Case Manager HCA Healthcare

RN Case Manager PRN HCA Healthcare Inc

RN, Senior LTSS Service Care Manager Centene Management Company

Bilingual Clinical Care Nurse (RN) CenterWell

Clinical - Clinical Review Nurse - Concurrent Review Pyramid Consulting, Inc

Bilingual Nurse Navigator Nursing Solutions

Senior LTSS Service Care Manager RN Centene Management Company

Mental Health House Supervisor - RN HCA Healthcare Inc

Critical Care Nurse Educator Tenet Healthcare Corp

Manager, Clinical Stewardship Operations (RN) Twin Health

Infusion Care Specialist LVN Employer Direct Healthcare Inc

Telephonic Nurse Case Manager II Elevance Health Inc

Transplant Nurse II Elevance Health Inc

Bilingual Nurse Care Manager Suvida

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