- 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 (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
- 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible… 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
- 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
- Sunrise Senior Living (Fort Worth, TX)
- …is to be a part of.** **Job ID** 2025-232060 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents and ... 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
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of… more
- CoreCivic (Eden, TX)
- …the highest quality care in an institutional setting. The Advanced Registered Nurse Practitioner under the supervision of the facility physician, provides advanced ... of improving operational efficiency and cost effectiveness of health-related services. + Audit pharmacy use for adherence to formulary, as directed or required. +… more
- Molina Healthcare (San Antonio, TX)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management… more