- Actalent (Austin, TX)
- …School of Nursing or BSN with 2-4 years of related experience + Required Licensure: LPN / LVN or RN - Compact State License + Strong time-management skills and ... Clinical Review Nurse - Concurrent Review Location: Remote - Compact...About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring… more
- Actalent (Austin, TX)
- …School of Nursing or BSN with 2-4 years of related experience + Required Licensure: LPN / LVN or RN - Compact State License + Strong time-management skills and ... Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules Available: +… more
- Elara Caring (Conroe, TX)
- …documentation to be uploaded to HCHB by direct care team members and LPN / LVN Clinical Coordinators, and maintains records and required documentation, assuring ... Nursing related field required + 2 years home care experience as a registered nurse in a Home Health or Hospice environment + Current, unrestricted RN license valid… more
- CenterWell (Houston, TX)
- …Prior experience conducting home visits and knowledge of field safety practices . Training as an LPN or LVN . Training as an EMT or paramedic . Bilingual in ... English/Spanish with the ability to speak, read and write in both languages without limitations and assistance **Skills/Abilities/Competencies Required** . Ability to multi-task in a fast-paced work environment . Flexibility to fluidly transition and adjust in… more
- Abbott (Plano, TX)
- …**Qualifications** + Associates Degree( +/- 13 years) In Nursing/Home Health ( LVN / LPN ) or related fieldrequiredor an equivalent combination of education ... and work experience + General knowledge of private insurance, Worker's Compensation and Medicare guidelinespertaining toProspective and RetrospectiveUtilization Review.Some experience in medicaldeviceor DME Billinga plus.Proficient withMicrosoft Office(Word… more
- Elevance Health (Rockwall, TX)
- …claims or service issues. + Directs and/or supervises the work of any LPN / LVN , LSW, LCSW, LMSW, and other licensed professionals other than an RN, in ... coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor,… more
- Abbott (Plano, TX)
- …**Required** **Qualifications** + Associates Degree ( +/- 13 years) In Nursing/Home Health ( LVN / LPN ) or related field required or an equivalent combination of ... education and work experience + General knowledge of private insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review. Some experience in medical device or DME Billing a plus. Proficient with… more
- HCA Healthcare (Arlington, TX)
- …are RMA, CCMA, CMA, NCMA, or NCRMA certification/ABR-OE credentials) or active LPN or LVN license is required. CPR Certification required. Supporting ... over 156,000 hours volunteering in our communities. As a(an) Licensed Clinic Supervisor with MSO - Kimberly Udell DO...a degree or diploma from an accredited school of practical or vocation nursing is required. EXPERIENCE: + Minimum… more
- Valor Health (Denton, TX)
- …Collaborates with the core PACT Team (Primary Care Provider, RN and LPN / LVN ) and expanded PACT Team including family/caregiver, VA, and community-based ... + Support patient enrollment and retention in appointments, follow-up visits or nurse visits. + Embrace and support new initiatives, whether clinical or operational… more
- Centene Corporation (Austin, TX)
- …and risk adjustment (coding) required **Licenses/Certifications:** One of the following required: CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN , RN, APRN, HCQM, CHP, ... CPHQ, CPC, CPC-A or CBCS **For Superior HealthPlan:** license/certification is preferred **Location: Position is hybrid. Candidate must live in TX. Prefer candidate to live in/around Austin, San Antonio, or Dallas.** Pay Range: $26.50 - $47.59 per hour Centene… more