- CenterWell (Austin, TX)
- …caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking ... make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
- AccentCare, Inc. (Odessa, TX)
- …and Purpose as a Territory Operations Director - Home Health RN Registered Nurse Reimagine Your Career in Corporate Healthcare As a professional, you know that ... employees Qualifications Be the Best Territory Operations Director- Home Health RN Registered Nurse You Can Be If you meet these qualifications, we want to meet… more
- Molina Healthcare (San Antonio, TX)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- AccentCare, Inc. (Round Rock, TX)
- …experience, preferred. Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory ... requirements Required Certifications and Licensures: Registered nurse with current licensure to practice nursing in the practicing state. Come As You Are At… more
- CenterWell (Austin, TX)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... LTAC, DME or Home Health. + Bilingual **Use your skills to make an impact** **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required,… more
- CenterWell (Austin, TX)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life… more
- AccentCare, Inc. (Temple, TX)
- …Records (EMR) preferred. Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory ... requirements. Demonstrates excellent observation, nursing judgement, and communication skills. Must be a licensed driver with an automobile in good working order. Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with… more
- Humana (Austin, TX)
- …help us put health first** The Behavioral Health Care Manager, Telephonic Nurse , in a telephonic environment, assesses and evaluates members' needs and requirements ... for the care and wellbeing of members. The Care Manager, Telephonic Nurse work assignments are varied and frequently require interpretation and independent… more
- Molina Healthcare (TX)
- **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
- Fresenius Medical Center (Dallas, TX)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance ... well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual… more