- Actalent (San Antonio, TX)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We ... are seeking an experienced Registered Nurse to join our team within a leading Managed...This role is fully remote and focuses on reviewing clinical documentation to determine medical necessity, appropriateness… more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- HCA Healthcare (Houston, TX)
- …to apply for our Clinical Nurse Coordinator Acute Inpatient Medical opening. Our team will promptly review your application. Highly qualified candidates ... Center we support our colleagues in their positions. Join our Team as a Clinical Nurse Coordinator Acute Inpatient Medical and access programs to assist with… more
- HCA Healthcare (El Paso, TX)
- …we encourage you to apply for our Clinical Nurse Coordinator Medical Surgical opening. Our team will promptly review your application. Highly qualified ... we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Surgical and access programs to assist with every… more
- HCA Healthcare (San Antonio, TX)
- …encourage you to apply for our Clinical Nurse Coordinator Medical Telemetry opening. We review all applications. Qualified candidates will be contacted ... Nurses at Methodist Hospital Stone Oak! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality,… more
- Molina Healthcare (TX)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- HCA Healthcare (San Antonio, TX)
- …encourage you to apply for our Clinical Nurse Coordinator Registered Nurse ED opening. Our team will promptly review your application. Highly qualified ... colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Registered Nurse ...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Austin, TX)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator NICU and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator NICU opening and continue...Nurse Coordinator NICU opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Austin, TX)
- …you to apply for our Clinical Nurse Coordinator ICU Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates ... excellent care patients deserve? At St. David's South Austin Medical Center we support our colleagues in their positions....colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator ICU Registered Nurse… more
- HCA Healthcare (Austin, TX)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator NICU and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator NICU opening and continue...Nurse Coordinator NICU opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more