- HCA Healthcare (San Antonio, TX)
- …Do you want to join an organization that invests in you as an Inpatient Authorization Review Services Registered Nurse or Licensed Practical Nurse -NICU ... difference. We are looking for a dedicated Inpatient Authorization Review Services Registered Nurse or...care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the… more
- HCA Healthcare (Plano, TX)
- …The IPAT Clinical Analyst Registered Nurse or Licensed Practical Nurse will review post discharge, prebill accounts that do not have authorization ... the account in accordance with policies and procedures. Escalate medical review request and /or denial activities...care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the… more
- Molina Healthcare (Fort Worth, TX)
- …(Team will work on set schedule) Looking for a RN with experience with appeals , claims review , and medical coding. **Job Summary** Provides support for ... medical claim and internal appeals review activities - ensuring alignment with...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Molina Healthcare (Austin, TX)
- For this position we are seeking a ( RN ) Registered Nurse who...Looking for a RN with experience with appeals , claims review , and medical ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- HCA Healthcare (Plano, TX)
- …worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse Case Manager IP RehabMedical City Plano **Benefits** ... benefits may vary by location._** We are seeking a(an) Registered Nurse Case Manager IP Rehab for...Nurse Case Manager IP Rehab opening. We promptly review all applications. Highly qualified candidates will be directly… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Denial Resource Center Registered Nurse ( RN ) is responsible for Baylor Scott & White Health denial management functions. The Denial ... - Associate's - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) Hybrid expectation- On-site once a year… more
- Banner Health (TX)
- …Requires a level of education as normally demonstrated by a Bachelor's degree. Requires Registered Nurse ( RN ) licensure in the state of practice. Requires ... work and receive care. As an Associate Manager of RN Denials Management, you will be an integral part...questions from your team and outside stakeholders, and conducting review of findings. In this role you will have… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... review , case management or equivalent revenue cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or level of… more
- Houston Methodist (Houston, TX)
- …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if...hospitals stays. Completing data collection of demographics, claim and medical information; non- medical analysis; and outcomes reporting.… more