- Immigration and Customs Enforcement (Houston, TX)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Immigration and Customs Enforcement (Houston, TX)
- …(CAD) candidates are not eligible for this position. Responsibilities The assistant nurse manager (Associate Chief, Complex Unit) is stationed at a complex larger ... large enforcement and removal flights with global public health impact. The Assistant Nurse Manager (ANM) works with the facility nurse manager to oversees… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- STG International (Temple, TX)
- STGi is currently seeking a Pharmacy Nurse -Licensed Vocational Nurse to provide services at The William R. Courtney Texas State Veterans Home. The William R. ... drug regimen and report irregularities to DON 15. Randomly audit drug storage and medical supply areas to ensure...as a minimum, a license as a Licensed Vocational Nurse . Must have, as a minimum, three (3) years'… more
- Sunrise Senior Living (Plano, TX)
- …NAME** Sunrise of Plano **Job ID** 2025-231340 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... time 'noted', and date faxed to pharmacy accurately and promptly. + Complete MAR/TAR audit each month. + Demonstrate and is knowledgeable of the Six (6) Rights of… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... or concerns that may require clinical review during the pre-bill, audit , or appeal process. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies and presents… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will support Medical Review ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Molina Healthcare (San Antonio, TX)
- …decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare… more
- Health Advocates Network (Eden, TX)
- …$672 M&I 413=$1,085. Total comp $1769.00.00- blended rate: $49.14** The Registered Nurse (RN) plans and provides comprehensive nursing care including, but not ... all provided services are documented. *Closely monitor all potential catastrophic illnesses. * Audit pharmacy use for adherence to formulary, as directed or required.… more
- Elevance Health (Grand Prairie, TX)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more