7 utilization review case manager jobs at 5 companies in Plano, TX
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CASE MANAGER (RN) - UTILIZATION REVIEW (FULL TIME)
Denison, Texas, United States
OnsiteFull Time
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
3+ YOEActive RN license (state or compact), bachelor’s degree preferred, minimum 3 years clinical or case management/utilization management experience in high-volume acute care, strong communication and problem-solving skills.
Nurse Case Manager - Utilization Review - Mon, Tue, Sat, Sun
Fort Worth, Texas, United States
OnsiteFull Time
JPS Health Network: Public health system providing medical care and residency training.
3+ YOERN with 3-5 years in clinical, case management, utilization review, or discharge planning; Bachelor's required; Texas RN licensure; ACM certification preferred; Master’s in Nursing preferred.
Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a)
Fort Worth, Texas, United States
OnsiteFull Time
JPS Health Network: Public health system providing medical care and residency training.
3+ YOEBachelor's in Nursing and active Texas RN license required; 3+ years clinical/case management/utilization review experience in acute care; ACM certification preferred; experience with discharge planning, assessment, documentation, and multidisciplinary collaboration.
ScionHealth: Operates community and specialty hospitals providing acute healthcare services.
1+ YOERN, LPN/LVN, or LCSW/LSW state licensure required. Nursing or social work degree required; healthcare experience and case management, utilization review, or discharge planning preferred.
Microsoft Office Suite, Electronic Medical Records (EMR)
The Specialty Alliance: Provides operational and administrative support to specialty medical practices.
5+ YOENursing degree or diploma with LVN or RN in good standing, 5+ years nursing experience, 1+ year case management/utilization review, knowledge of CPT/ICD-10 and payer guidelines, strong communication and documentation skills.
ClearSky Health: Operates specialized inpatient and outpatient medical rehabilitation hospitals.
4+ YOEBachelor's degree or clinical state licensure or 4 years relevant experience; clinical licensure when required by state; valid driver's license and insurability; knowledge of utilization review, discharge planning, and community resources.