- HCA Healthcare (Austin, TX)
- …nurses that are transitioning to a new specialty. TheClinical Support Nurse Coordinatorsupports multiple units. Clinical Support Nurse Coordinatorprovides ... preferred License/Certification: + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an...career path, we encourage you to apply for our Clinical Support Coordinator opening. We review all… more
- CVS Health (Austin, TX)
- …RN job duties include (not an all-encompassing list): - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs ... as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… more
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery… more
- Central Texas College (Killeen, TX)
- PT Instructor-LVN ( Clinical ) - Nursing Below you will find the details for the position including any supplementary documentation and questions you should review ... you would like to bookmark this position for later review , click on the Bookmark link. To email this...officials designated below. Position Information Position Title PT Instructor-LVN ( Clinical ) - Nursing FLSA Exempt Full Time/Part Time Part… more
- ManpowerGroup (Austin, TX)
- …Registered Nurse , you will be part of the Operations Department supporting clinical review processes. The ideal candidate will have strong analytical skills, ... abilities which will align successfully in the organization. **Job Title:** Registered Nurse **Location:** Austin, TX **Pay Rate:** Up to $40.74 **What's the Job?**… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR**… more
- Health Care Service Corporation (Richardson, TX)
- …**Job Summary** This position is responsible for ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) ... making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** **Utilization review experience.** **3 years clinical experience in psychiatric… more
- Texas Health Resources (Dallas, TX)
- ** Clinical Outcomes Coordinator** _Our award-winning hospital is seeking a Full Time Clinical Outcomes Coordinator to join our fantastic team. Is that you?_ ... direct patient care experience required * RN - Registered Nurse upon hire required AND * BCLS - Basic...* Assist with optimizing throughput and discharge facilitation * Review critical documentation to ensure excellent outcomes * Initiate… more
- Molina Healthcare (Fort Worth, TX)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more