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Job Summary: The Clinical Value Analysis Specialist serves as the primary analytical and operational support resource for the Clinical Value Analysis (CVA) program, working under the direction of the Clinical Value Analysis Manager and in close collaboration with assigned Clinical Category Manager(s). The Specialist provides analytical rigor and process discipline to enable Category Managers and clinical committees to make data-driven decisions that reduce the total cost of care, improve patient safety, and optimize clinical outcomes.

University of Texas Medical Branch at Galveston

Clinical Value Analysis Specialist - Sourcing and Value Analysis

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Coordinates discharge planning needs including but not limited to; home health services, physician follow up care, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc. Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.

LifePoint Hospitals

Case Manager (Cm) Rehabilitation

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Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

YEAR

Enlyte Group LLC

Medical Field Case Manager

Demonstrates a working knowledge of community mental health and substance use programs/referral to be offered for all patients not at imminent risk nor requiring services at a higher level of care as provided at the hospital. Upon admission to a treatment program within the hospital, notifies the unit staff of the patients level of acuity, chief compliant and history of illness leading to admission, medical concerns and attending physician.

Sun Behavioral Health

Intake Coordinator III

Sun Behavioral

Remote Intake Coordinator

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp.

Case Manager

Experience / Knowledge / Skills: Three (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e., ambulatory surgery center, infusion/dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.

<h3>Mission Statement:</h3>
CSR Staffing Agency was established and designed to&nbsp; implement support staff in our facilities to maintain quality care for our nursing home residents. We staff Registered Nurses, Licensed Practical Nurses, Certified Medication Technicians and Certified Nursing Assistants. Our mission is to provide valuable staff support as well create a dynamic work relationship with our employees. We build that relationship with our employees by standing on 4 principles:
<ul>
<li>People-We are dedicated to attracting and retaining professional, serious minded individuals through a culture that nurtures success, develops careers, encourages communication, and honors all commitments.&nbsp;</li>
<li>Ethics- We foster a positive team environment by treating everyone with dignity and respect, having the character to do what is right, morally and legally, and making ethical conduct the personal responsibility&nbsp; of every one of our associates.&nbsp;</li>
<li>Culture-We foster a positive team environment by putting ethics above all else, treating everyone fairly, and supporting&nbsp; and understanding our associates while they balance work and life</li>
<li>Communication-We build lasting relationships by communicating with our associates and our facilites in an honest and timely manner. We encourage and respect two-way communcation as well as provide the tools and resources necessary to make informed decisions.&nbsp;</li>
</ul>

Jaz Staffing Agency

Case Manager for The Texas Medical Center

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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 is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.

CorVel Corp

Medical Case Manager I - Spanish Speaking

Designing and owning the integrated solutions architecture, including the development and maintenance of Single Line Diagrams (SLDs) that integrate with various GE Vernova systems, such as electrical subsystems, gas power turbines, Energy Management Systems (EMS), battery energy storage, and grid hardware and software. Supporting & Leading cross-functional efforts to perform coordination studies and requirements testing for the entire power system, working closely with internal stakeholders within Consulting Services and across GE Vernova's business units, including those in engineering, sales, and product development, to drive the growth of GE Vernova's power systems capabilities.

GE Vernova

Integrated Solutions Applications Engineer

The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.

Memorial Hermann Health System

Supplement Case Manager (on the adult side)

Supp Case Mgr

Experience / Knowledge / Skills: Three (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e. ambulatory surgery center, infusion/dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.

Case Manager (part-time)

GE Vernova Inc

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. Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

ScionHealth

Case Manager PRN

Ensures that the following information/instruction is given in writing to the patient/caregiver/representative: visit schedule with frequency of visits, complete medication profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient’s care needs, name and contact information of the agency’s Clinical Manager. Acts as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agencies.

Team Select Home Care

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

Knight Health Holdings LLC

Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Under the direction of a physician, provides direct patient care including gathering detailed history and performing physical exams.

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.

Utilization Management Nurse Jobs in Houston, TX

Clinical Value Analysis Specialist - Sourcing and Value Analysis University of Texas Medical Branch at Galveston

Case Manager (Cm) Rehabilitation LifePoint Hospitals

Medical Field Case Manager Enlyte Group LLC

Intake Coordinator III Sun Behavioral Health

Remote Intake Coordinator Sun Behavioral

Case Manager Encompass Health Corp.

Case Manager for The Texas Medical Center Jaz Staffing Agency

Medical Case Manager I - Spanish Speaking CorVel Corp

Integrated Solutions Applications Engineer GE Vernova

Supplement Case Manager (on the adult side) Memorial Hermann Health System

Supp Case Mgr Memorial Hermann Health System

Case Manager (part-time) Memorial Hermann Health System

Case Manager Memorial Hermann Health System

Integrated Solutions Applications Engineer GE Vernova Inc

Case Manager PRN ScionHealth

Case Manager Team Select Home Care

Medical Case Manager I - Spanish Speaking CorVel Healthcare Corporation

Case Manager PRN Knight Health Holdings LLC

Physician Assistant - Pain Medicine- North Houston, TX Tenet Healthcare Corp

Pain Medicine Physician Assistant- Part Time- North Houston, TX Tenet Healthcare Corp

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