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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Houston, Texas. Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
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The Discharge Planner/Case Management assistant is responsible for documenting per Steward Healthcare policy. As directed by the RN/MSW Case Manager, the Discharge Planner/Case Management Assistant coordinates post-discharge services as identified by the interdisciplinary team and ordered by a physician.
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This position uses case management skills to help patients and their families address and resolve the social, financial and psychological problems related to their health condition.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Responsible for providing ongoing case management services for participants enrolled in ACCESS; works with participants to enhance stability and overall well-being by addressing participant needs, including community resources, assistance with internal and external referrals for medical, substance use, mental health, parenting, employment, housing needs, and other needs related to social determinants of health.
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Current State of Texas Professional Nursing license (RN) and an Accredited Case Manager certification (ACM) from the American Case Management Association or Certified Case Manager certification (CCM) from the Commission for Case Managers within 180 days of entry into job.
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The SC works collaboratively with the RN case manager to support, promote, and facilitate engagement in the LTSS Case Management Program. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member¿s needs, including physical health, behavioral health, social services and long-term services and supports.
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The ideal candidate has experience with site design, grading, drainage, stormwater, land easements, surveying and earthwork as may be found in greenfield or expansion of existing electric substations or other similar type facilities.
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Eight years of professional nursing experience in an oncology hospital or clinic setting, to include three years of experience in case management practice and three years of management experience.
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Contribute to the implementation of Energy Trade and Risk Management (ETRM software with a focus on ION RightAngle™, Allegro or Endur. Senior Associate- ETRM Technology Solutions Location: Houston, TX - on site 3 days / week.
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Experience in utilization management, case management, discharge planning or other cost/quality management program preferred. Leads the development, implementation, evaluation and revision of clinical pathways and other case management tools as a member of the clinical resource/team.
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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Electrical Component Engineer- Houston, TX (On-site) Location: Houston, TX (On-site) Interfacing with internal and external failure analysis (FA) labs to investigate root cause failure and providing recommendations to product groups based on the findings.
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Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials.
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Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post. As a Materials Management Specialist, you will be responsible for the development, implementation and management of companywide supply chain inventory strategies for assigned commodities, consistent with Corporate and Departmental policies and procedures.
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health case management on site jobs Title: case management specialist in Houston, TX
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