- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job...failure of the progression of care process. + Conducts chart audits and performs peer-to-peer evaluations for continuous quality… more
- CoreCivic (Eden, TX)
- …the highest quality care in an institutional setting. The Advanced Registered Nurse Practitioner under the supervision of the facility physician, provides advanced ... of improving operational efficiency and cost effectiveness of health-related services. + Audit pharmacy use for adherence to formulary, as directed or required. +… more
- Elevance Health (Grand Prairie, TX)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise,...recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a minimum… more
- Texas Health Resources (Dallas, TX)
- …quarterly reports to the Rehab Steering Committee. + Responsible for the concurrent chart audit process used for demonstrating medical necessity of the rehab ... discipline and/or case management Required + RN - Registered Nurse Upon Hire Required Or + PT - Physical...for hospital and externally as needed. + Reviews patient chart and talks to patient, family, and/or health care… more
- Fresenius Medical Center (Fort Worth, TX)
- …and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations ... under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible...+ Participates in medical records, infection control, and other audit processes as directed. + Actively collaborates with others… more
- Fresenius Medical Center (Odessa, TX)
- …and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations ... under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with, and as permissible...+ Participates in medical records, infection control, and other audit processes as directed. + Actively collaborates with others… more
- BrightSpring Health Services (Houston, TX)
- …and responds to negative trends in performance metrics (outcomes, quality audit results, surveys, etc.) by assisting local operations and nursing leadership ... with local leadership in driving improvement in performance.* Ensures that there is a nurse on call after hours for all homes (and may participate in on-call duties… more
- Houston Methodist (Houston, TX)
- …+ Conducts internal surveys across the HM system using ISO 9001 process audit tools and techniques to evaluate the effectiveness of actions taken for previous ... or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience (in addition… more
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