- HCA Healthcare (Houston, TX)
- …appropriate bed placement based on level of care + Conducts admission and concurrent medical record review using specific indicators and InterQual criteria in ... us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare… more
- HCA Healthcare (Austin, TX)
- …(ie Core Measures, Stroke, STS, and CathPCI) . You will perform daily concurrent review and retrospective reviews as needed to ensure compliance with ... Registered Nurse Quality Coordinator opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews.… more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to...relationships across the hospital** + **Ability to manage multiple concurrent projects and maintain a work pace appropriate to… more
- Cognizant (Austin, TX)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization… more
- HCA Healthcare (Houston, TX)
- …Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with...resource to Hospital and Medical Staff + Responsible for concurrent audits of patient charts. Inputs data for tracking,… more
- Texas Health Resources (Plano, TX)
- …patient populations in terms of operation, services and patient care * Concurrent review of medical records against pre-established criteria/quality initiatives ... Quality Improvement Coordinator, Registered Nurse - Neuro Administration _We're looking for a...identify and measure continuous improvement priorities and targets * Review medical records against pre-established criteria for Sepsis and… more
- UTMB Health (Galveston, TX)
- …mechanism for the review of quality of care issues arising during concurrent review , identifies area of potential medical liability and communicates to ... Utilization Review Case Mgr - Galv. Campus Utilization Mgt...and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage… more
- Centene Corporation (Austin, TX)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status...insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use… more
- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...purposes of utilization review , care coordination compliance with requirements of external … more