- Houston Methodist (The Woodlands, TX)
- …eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and managed ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position...nursing experience, which includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN -… more
- CenterWell (Austin, TX)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Houston Methodist (Sugar Land, TX)
- …Provides education to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of department scores for ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...state, local, and federal programs + Comprehensive knowledge of utilization management , case management , performance… more
- HCA Healthcare (Houston, TX)
- … opportunity. **Job Summary and Qualifications** Under the direction of the Case Management Manager and the Director of QRM, reviews admissions and extended ... any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and… more
- AdventHealth (Mansfield, TX)
- …care and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, ... management and clinical practice activities for the nursing unit(s) under his/her charge, the Nurse ...the nursing unit(s) under his/her charge, the Nurse Manager assumes 24-hour accountability by setting… more
- UTMB Health (Webster, TX)
- … management experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant Nurse Manager ) required. Current license or ... - Cath Lab (Clear Lake) **Webster, Texas, United States** Nursing & Care Management UTMB Health Requisition...nursing specialty or administration required. **Job Description:** The Nurse Manager is accountable for the effective… more
- CVS Health (Austin, TX)
- …states. This role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or ... heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is...years' experience in critical care + 6+ months case management or utilization management experience… more
- HCA Healthcare (Lewisville, TX)
- …at Medical City Lewisville have the opportunity to make a real impact. As a Registered Nurse Case Manager PRN you can be a part of change. **Benefits** Medical ... and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as...improve positive outcomes for your patients as a Registered Nurse Case Manager PRN. We want your… more
- HCA Healthcare (Weatherford, TX)
- …at Medical City Weatherford have the opportunity to make a real impact. As a Registered Nurse Case Manager you can be a part of change. **Benefits** Medical City ... and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as...improve positive outcomes for your patients as a Registered Nurse Case Manager . We want your knowledge… more