Director, Unified Case Management & Utilization

Jobleads-US

Nexus Health Systems in Houston seeks an experienced Corporate Director of Case Management & Utilization Review to lead system-wide operations, align clinical and financial goals, and drive high-quality, efficient patient care. The role requires strong leadership across Case Management and UR, expertise in medical necessity review, discharge planning, and performance improvement across multiple facilities.

You will partner with physicians and revenue cycle leaders to optimize outcomes and

#J-18808-Ljbffr Jobleads-US

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Director, Unified Case Management & Utilization in Houston, TX vacancy

Corporate Director of Case Management and Utilization Review
...Corporate Director of Case Management & Utilization Review Nexus Health Systems Nexus Health Systems is seeking an experienced, strategic healthcare... ...and operational experience needed to establish unified processes that balance patient outcomes, regulatory compliance...
Suggested
Nexus Health Systems
Houston, TX
1 day ago
Director of Case Management & Utilization Review
...Systems in Houston, TX seeks an experienced Corporate Director of Case Management and Utilization Review to lead these functions across our multi-facility... ...planning, and transitions of care. You will drive unified workflows, ensure medical necessity alignment with payer...
Suggested
Nexus Health Systems Ltd
Houston, TX
3 days ago
Director Case Management
...integrity. We care like family! Jump-start your career as a(an) Director Case Management today with HCA Houston Healthcare Medical Center.... ...to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital...
Suggested
Temporary work
Flexible hours
HCA Mission Hospital - Memorial Campus
Houston, TX
2 days ago
Director of Case Management
...mobile devices with this link. Job Description POSITION TITLE: Director of Case Management POSITION LOCATION: Houston, Texas POSITION SUMMARY: Overall responsibility for hospital utilization performance improvement and operational management of the Case...
Suggested
CS&S Staffing Solutions
Houston, TX
4 days ago
Director of Case Management & Community Partnerships
...individual in this position has extensive leadership knowledge in Case Management and must have occupied similar position with at least two years.. Candidate will have overall responsibility for Clinic utilization performance improvement and operational management of the...
Suggested
Kinghaven Counseling Group, Inc.
Houston, TX
27 days ago
Case Management Director
...Job Description Case Management Director Career Opportunity Highly regarded for your Case Management Director expertise Are you an... ...years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience. • May be...
Full time
Part time
Local area
Flexible hours
Night shift
Weekend work
Day shift
Afternoon shift
Weekday work
Encompass Health
Houston, TX
3 days ago
Complex Case Manager
...(Community) is a non-profit managed care organization (MCO), licensed... ...SUMMARY: The Complex Case Manager (CCM) will identify,... ...assessment based on member needs utilizing available benefits and... ...work closely with the medical directors and refer requests that do not...
Work experience placement
Work at office
Flexible hours
Harris Health System
Houston, TX
2 days ago
Certified Case Manager
...Certified Case Manager PRN position Full Time The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience...
Full time
Relief
Encompass Health
Houston, TX
1 day ago
CASE MANAGER
...facilities and the provision of management services and evidence-based... ...a caseload of client cases and administering the policies... ...contracting agency and the Facility Director. Learns, uses and models the... ...solve problems and function as a unified team. Maintains...
Full time
Contract work
Temporary work
Work experience placement
Worldwide
Flexible hours
GEO Reentry Services, LLC
Houston, TX
1 day ago
Case Manager
...Job Description Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management... ...information in the patient record. Participate in utilization review process: data collection, trend review, and resolution...
Full time
Contract work
Part time
Flexible hours
Encompass Health
Houston, TX
2 days ago
504 Case Manager
$53k
504 Case Manager Job Description Mission The mission of the Beta Academy 504 Case... ...To The Principal and Executive Director of Special Populations Outcomes... ...accordance with the Parent/Scholar Handbook and utilize the Handbook as a first point of reference...
Full time
Night shift
Beta Academy
Houston, TX
10 days ago
Case Manager I
CASE MANAGER 1 - PHASE 1 CLIENTS Drop-In Center Mission: The Landing's mission is to serve survivors of human trafficking and commercial... ...regular contact, assess immediate needs, adjust service plans, utilize trauma-informed practices, assess safety, and provide crisis intervention...
Full time
Immediate start
Flexible hours
Weekend work
Afternoon shift
The Landing
Houston, TX
1 day ago
Director - Case Management
$3,141 - $3,490 per week
...Interim Director, Case Management (RN/Social Work) – Houston, TX (77030) Interim Director of Case Management (RN/Social Work) – Lead care coordination, utilization management and discharge planning for a major hospital near the Texas Medical Center in Houston, TX 77030...
Weekly pay
Contract work
Interim role
Immediate start
Shift work
Day shift
GHR Healthcare
Houston, TX
8 hours ago
Care Coordination Case Manager
Memorial Hermann Health System in Houston is seeking a Case Manager to support physicians, primary medical homes and interdisciplinary teams, coordinating care, utilization management and discharge planning to improve outcomes and control costs. The role requires RN or...
Memorial Hermann Health System
Houston, TX
22 hours ago
Bilingual Case Manager-Economic Empowerment
$21.63 per hour
Description As the Bilingual Case Manager- Economic Empowerment Services is responsible for providing comprehensive support with a focus... ...and securing long-term financial independence and safety by utilizing one on one financial empowerment services and a broad range of...
Hourly pay
Full time
Part time
Work at office
Local area
Immediate start
Remote work
Flexible hours
United Against Human Trafficking
Houston, TX
2 days ago
Case Manager
...Up to 75% Job Shift: Any Job Purpose The Case Manager will provide comprehensive case... ...community resources; housing assistance, utility assistance, and relevant community services... ...recommendations to the Lead Case Manager and Program Director for continuous growth and quality. Be...
Full time
Shift work
Night shift
Weekend work
Endeavors
Houston, TX
22 hours ago
Case Manager
...centered care plans under the supervision of a physician Provides case management to an assigned group of patients and ancillary staff... ...Educates on the proper home health strategies and procedures utilizing community resources as applicable Observes and reports patient...
Immediate start
Night shift
Weekend work
Team Select Home Care
Houston, TX
2 days ago
Case Manager II
...self‑sufficiency and live with dignity. Senior Services Program Case Manager II. Responsible for providing and delivering services to... ...extensive case management on an ongoing basis in clients’ homes. Utilize Health IDEAS, Economic CheckUP screenings, and Benefits...
Temporary work
Internship
Catholic Charities of the Archdiocese of Galveston-Houston
Houston, TX
4 days ago
Case Manager, Rehabilitation Licensed
Your Experience Matters Title: Case Manager (CM) Job Type: Full time Your Experience Matters... ...management of care and ensures optimum utilization of resources, service delivery and... ...conduct peer review with payer medical director when indicated. Ensures clinical updates...
Full time
Flexible hours
Lifepoint Health®
Houston, TX
4 days ago
RN Case Manager - Full Time
...previous illness(es). Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates... ...toward self-sufficiency and optional comfort care. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility...
Full time
BH Management Services, LLC
Houston, TX
3 days ago
RN Case Manager
$2,511 per week
...Job Description Job Description Position: RN Case Manager Location - Houstan TX Pay : $2511 weekly gross ($25.50/ hour on... ...or Inpatient Rehabilitation Case Management experience and/or Utilization Review experience Start:11/9/2026 \nCompany Description...
Weekly pay
Contract work
Shift work
Lancesoft INC
Houston, TX
7 days ago
Manager Case Management & Social Services RN
...Manager Case Management & Social Services RN At Houston Methodist, the Manager Case Management & Social Services RN position is responsible... ...care to patients and while promoting the most cost-effective utilization of the hospital's resources. This position maintains...
Permanent employment
Corporate
Houston, TX
2 days ago
Manager Case Management & Social Services RN
...At Houston Methodist, the Manager Case Management & Social Services RN position is responsible... ...promoting the most cost-effective utilization of the hospital's resources. This position... ...and Appeals. Collaborates with the Director of Case Management/Social Svcs on criteria...
Permanent employment
Contract work
Immediate start
Flexible hours
Houston Methodist
Houston, TX
22 hours ago
Case and Compliance Manager
...Job Description Job Description Provide Case Management services to female youth in the foster care system in a residential treatment... ...and our Trust Based Relational Interaction program model is utilized in all resident interaction. Demonstrate mastery of emergency...
Road To Wisdom Llc
Houston, TX
a month ago
Medical Case Manager I - Spanish Speaking
Medical Case Manager I - Spanish Speaking Job Category : Case Management Showing 1 location Houston, TX 77002, USA Full-Time Description... ..., and coworkers A cost containment background, such as utilization review or managed care is helpful Strong interpersonal, time...
Minimum wage
Full time
Work at office
Local area
Work from home
Monday to Friday
Flexible hours
Night shift
CorVel Brand
Houston, TX
4 days ago
Residential Case Manager
$21.63 per hour
As the Residential Case Manager you will provide empowering and supportive services to victims of domestic and sexual violence while assessing... ...transportation; ability to travel to off-site locations utilizing personal transportation, if applicable. What you Deliver in...
Hourly pay
Full time
Part time
Work at office
Local area
Monday to Friday
Night shift
Houston Area Women's Center
Houston, TX
22 hours ago
Blessed Beginnings | Lead Case Manager
...in need. What you Deliver Provide comprehensive wrap-around case management services to pregnant women, single parents, and families,... ...including housing assistance, food support, childcare subsidies, and utility assistance. Conduct outreach to community agencies, faith-...
For contractors
Catholic Charities of the Archdiocese of Galveston-Houston
Houston, TX
2 days ago
Medical Case Manager I - Spanish Speaking
$63.74k - $95.26k
...energetic and independent registered nurse to fill a Medical Case Manager position in El Paso, TX. Work from home, and on the road.... ...health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the current treatment...
Minimum wage
Full time
Work at office
Local area
Remote work
Work from home
Monday to Friday
Flexible hours
Night shift
CorVel Healthcare Corporation
Houston, TX
6 days ago
Bi-lingual Mental Health Case Manager
...Job Description We are seeking a Bi-lingual Mental Health Case Manager to join our team! You will provide recovery-oriented rehabilitation... ...and management to clients in urgent situations. Utilize motivational interviewing techniques to empower clients toward...
Jason D. Baron, M.D.P.A. dba Texas Wraparound Services
Houston, TX
22 days ago
Case Manager / RN (PRN)
...Case Manager / RN (PRN) At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively... ...programs Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and...
Permanent employment
Relief
Work at office
Local area
Houston Methodist
Houston, TX
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Director, Unified Case Management & Utilization. Be the first to apply!