- HCA Healthcare (Round Rock, TX)
- …equivalent combination of education and/or experience Licensure, Certifications, Training: + Currently licensed as a Registered Nurse in the state(s) of practice ... supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** Education & Experience:...growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review … more
- HCA Healthcare (Austin, TX)
- …combination of education and/or experience **Licensure, Certifications, Training:** + Currently licensed as a registered professional nurse in the state(s) ... supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** **Education & Experience:**...growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review … more
- Evolent (Austin, TX)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- HCA Healthcare (Austin, TX)
- …Nursing or Nursing Diploma** + **Bachelor's Degree in Nursing - preferred** + **Currently licensed as a Registered Nurse in the state(s) of practice according to ... supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for...path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review … more
- Fresenius Medical Center (Houston, TX)
- …growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities + Responsible for overseeing performance ... of all licensed personnel, direct patient care staff, reporting indirect patient...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- Molina Healthcare (Fort Worth, TX)
- …Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Houston Methodist (Sugar Land, TX)
- …the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more