... processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management ...
... processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management ...
... processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management ...
... processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management ...
Case Manager
$62K - $81K/yr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Manager
$62K - $81K/yr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Manager
Austin, TX · On-site
$62K - $81K/yr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Manager
Austin, TX · On-site
$62K - $81K/yr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Manager
Austin, TX · On-site
$19.75 - $25.50/hr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Manager
Austin, TX · On-site
$19.75 - $25.50/hr
Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...
Case Management Assistant
Conroe, TX · On-site
$18 - $23/hr
... Preparing, processing, and submitting necessary paperwork (such as insurance authorizations ... Weekend and holiday shifts will be required. Other Duties Please note this is not designed to cover ...
Case Management Assistant
Conroe, TX · On-site
$18 - $23/hr
... Preparing, processing, and submitting necessary paperwork (such as insurance authorizations ... Weekend and holiday shifts will be required. Other Duties Please note this is not designed to cover ...
Case Management Assistant
Conroe, TX · On-site
$18 - $23/hr
... Preparing, processing, and submitting necessary paperwork (such as insurance authorizations ... Weekend and holiday shifts will be required. Other Duties Please note this is not designed to cover ...
Quick apply
Case Management Assistant
Conroe, TX · On-site
$18 - $23/hr
... Preparing, processing, and submitting necessary paperwork (such as insurance authorizations ... Weekend and holiday shifts will be required. Other Duties Please note this is not designed to cover ...
... processes and patient care What You'll Need • Active Texas RN license or LMSW required • LCSW preferred • Case Management Certification required • Five or more years of experience in case ...
Quick apply
... processes and patient care What You'll Need • Active Texas RN license or LMSW required • LCSW preferred • Case Management Certification required • Five or more years of experience in case ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Facilitate appropriate appeal process, as determined by the insurance provider, in cases of denial ... Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS ...
Foster Care Case Management Supervisor
Denton, TX · On-site
$18.75 - $24.25/hr
The Case Management Supervisor provides direct supervision, support and oversight to Foster Care ... Participate in program development, policy implementation and process improvement efforts * Perform ...
Quick apply
Foster Care Case Management Supervisor
Denton, TX · On-site
$18.75 - $24.25/hr
The Case Management Supervisor provides direct supervision, support and oversight to Foster Care ... Participate in program development, policy implementation and process improvement efforts * Perform ...
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Director of Case Management
Lubbock, TX · On-site
... Case Management like you to join our Lubbock Heart team. What You Will do in this Role: * Plans ... processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and ...
New
Case Management Specialist- Advanced Practice
Dallas, TX · On-site
$70K/yr
Engage and involve children and their sponsors in the casework process. * Utilize professional ... Work evenings, weekends, and holidays as needed or requested. * Implement Compass Connections ...
Case Management Specialist- Advanced Practice
Dallas, TX · On-site
$70K/yr
Engage and involve children and their sponsors in the casework process. * Utilize professional ... Work evenings, weekends, and holidays as needed or requested. * Implement Compass Connections ...
The Manager is responsible for coordinating the use systems and processes for care/utilization ... Case Manager Certification required Experience/ Knowledge/ Skills: * Minimum five (5) years ...
The Manager is responsible for coordinating the use systems and processes for care/utilization ... Case Manager Certification required Experience/ Knowledge/ Skills: * Minimum five (5) years ...
Case Management Specialist- Advanced Practice
Dallas, TX · On-site
$70K/yr
Engage and involve children and their sponsors in the casework process. * Utilize professional ... Work evenings, weekends, and holidays as needed or requested. * Implement Compass Connections ...
Case Management Specialist- Advanced Practice
Dallas, TX · On-site
$70K/yr
Engage and involve children and their sponsors in the casework process. * Utilize professional ... Work evenings, weekends, and holidays as needed or requested. * Implement Compass Connections ...
Manager, Case Management - Trauma Services
$108K - $130K/yr
... processes. Preferred Qualifications * Trauma services, emergency services, or acute care case ... Experience leading multidisciplinary case management teams. * Knowledge of value-based care models ...
Quick apply
Manager, Case Management - Trauma Services
$108K - $130K/yr
... processes. Preferred Qualifications * Trauma services, emergency services, or acute care case ... Experience leading multidisciplinary case management teams. * Knowledge of value-based care models ...
Weekend Case Management Processor information
What is the difference between Weekend Case Management Processor vs Weekend Medical Coder?
| Aspect | Weekend Case Management Processor | Weekend Medical Coder |
|---|---|---|
| Credentials | Typically requires case management or healthcare certifications | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or case management agencies | Hospitals, clinics, or medical billing companies |
| Employer & Industry | Healthcare and insurance industries | Medical billing and coding industry |
| Search & Comparison Intent | Understanding roles in healthcare case management | Comparing healthcare coding roles |
The Weekend Case Management Processor focuses on coordinating patient care and managing cases, often requiring case management certifications. In contrast, a Weekend Medical Coder specializes in translating medical records into billing codes, requiring coding certifications. Both roles operate in healthcare settings but serve different functions within the industry.
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 10 days ago
Tenet Healthcare rating
6.1
Based on 345 frontline employees who took The Breakroom Quiz
726th of 886 rated healthcare providers
Job description
This position may qualify for a sign-on bonus
Responsible for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and
patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patient, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Qualifications
MINIMUM EDUCATION: Bachelor's Degree from an accredited school, college or university as a Registered Nurse
PREFERRED EDUCATION: Master's Degree from an accredited college or university in Nursing or related field
MINIMUM EXPERIENCE: 2 years in acute hospital case management, healthcare or leadership experiences
PREFERRED EXPERIENCE: 5 years in acute hospital case management. McKesson InterQual® experience and
Business Planning experience
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State registration as a Registered
Nurse
PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): NA
#LI-RR1
About Us
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Luke's Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At Saint Luke's Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
About the Team
Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!
What Tenet Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Tenet Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Dallas, TX, US
Year founded
1969