- Molina Healthcare (El Paso, TX)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
- Elara Caring (San Antonio, TX)
- …is Required?** + Bachelor's degree preferred + 3 years of active experience as a RN , preferably with 1 year in the home care industry + Knowledge of Medicare ... /Medicaid home care benefits, policies, and procedures + Valid driver's license and insurance + Reliable transportation to perform job tasks You will report to the Director Nursing or Clinical Administrator. _This is not a comprehensive list of all job_… more
- Prime Healthcare (Weslaco, TX)
- …in the United States in the various areas we serve: + Centers For Medicare & Medicaid Services (CMS) Five-Star Quality Rated + LeapFrog Hospital Safety Grade ... Chamber if he/she has previous clinical training and experience, and/or is an RN . Ultimately, the Director is accountable for achieving program metrics, and ensuring… more
- Fresenius Medical Center (Fort Worth, TX)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine… more
- Fresenius Medical Center (Fort Worth, TX)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… 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._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more
- Houston Methodist (Sugar Land, TX)
- …Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...insurance company providing utilization review services + Knowledge of Medicare , Medicaid, and Managed Care requirements + Progressive knowledge… more
- Fresenius Medical Center (Houston, TX)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... *Dialysis experience, CCHT Certificate ( **mandatory** ) RN Tuition Assistance Available Low-Cost Benefits (Medical, Dental,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more