- Houston Methodist (Sugar Land, TX)
- …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- STG International (Temple, TX)
- STGi is currently seeking a Charge Nurse ( RN or LVN) to provide services at The William R. Courtney Texas State Veterans Home. The William R. Courtney Texas ... care and initiate corrective action as necessary. 3. Obtain report from nurse being relieved and record sufficient information to implement appropriate follow-up… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare , Medicaid,… 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 ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- HCA Healthcare (San Antonio, TX)
- …call according to agency policy. **What qualifications you will need:** + Drivers License + ( RN ) Registered Nurse + Registered Nurse Diploma ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...we encourage you to apply for our Home Health RN opening. We promptly review all applications.… more
- HCA Healthcare (San Antonio, TX)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... Two years of experience within a licensed and certified ( Medicare ) home health agency requiredCompetent in Federal ( Medicare...we encourage you to apply for our Clinical Manager RN opening. We promptly review all applications.… more
- Molina Healthcare (Fort Worth, TX)
- …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... care management experience. **Preferred License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
- UTMB Health (Galveston, TX)
- …Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP) + Licensed Registered Nurse ( RN ) by the Texas Board of Nursing (TBON) + ... Licensed Advanced Practice Registered Nurse (APRN) in a ...specialization by the Texas Board of Nursing (TBON) _Current RN 's who have not yet completed their nurse… more
- UTMB Health (Galveston, TX)
- …Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP) + Licensed Registered Nurse ( RN ) by the Texas Board of Nursing (TBON) + ... Licensed Advanced Practice Registered Nurse (APRN) in a ...specialization by the Texas Board of Nursing (TBON) _Current RN 's who have not yet completed their nurse… more