- Humana (Austin, TX)
- …in Nursing (BSN) or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse ( RN ) license + 5 years or more of prior ... medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical… more
- 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
- 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
- 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)
- …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
- 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
- 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
- CenterWell (Lubbock, TX)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.… more
- Houston Methodist (Houston, TX)
- …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case Management & Social… more
- STG International (Temple, TX)
- STGi is currently seeking a MDS Coordinator ( RN or LVN) to provide services at The William R. Courtney Texas State Veterans Home. The William R. Courtney Texas State ... needs. Follow and educate community team members on the review process and provide recommendations to address potential areas...Plans - Initiated within 48 hours and reviewed/signed by RN o UDA's - for potential MDS opportunities 14.… more