- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center - M-F, 8:00 AM - 5:00 PM **Webster, Texas, United States** Nursing & Care Management UTMB Health ... efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions,… more
- ChenMed (Houston, TX)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Molina Healthcare (San Antonio, TX)
- …candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in ... officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports...the specific programs supported by the plan such as utilization review , medical claims review ,… more
- Houston Methodist (Houston, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management skills + Demonstrates ... Acute Care Unit At Houston Methodist, the Charge Nurse position is a licensed professional Registered ...clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide competent,… more
- Houston Methodist (Houston, TX)
- …for employee engagement. **SERVICE ESSENTIAL FUNCTIONS** + Collaborates with anesthesia, OR charge nurse , and OR management to maximize efficiency and flow of ... At Houston Methodist, the Perioperative Nurse Coordinator position is an experienced Operating Room...timeframes, and respond accordingly. Provides input regarding OR block utilization and management . + Reviews the OR… more
- CVS Health (Austin, TX)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Practitioner (NP) First Assist AC position is responsible for functioning as an advanced practice practitioner maintaining and ... AC position will assist the physician in the global management of patient care in all peri-operative settings; the...inpatient and outpatient settings and perform according to the nurse practice act of the State of Texas, and… more
- Houston Methodist (Houston, TX)
- …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of a targeted patient… more
- Houston Methodist (The Woodlands, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management skills + Demonstrates ... At Houston Methodist, the Charge Nurse II Operating Room (OR) Department Premium WA...Savers) as well as creates an environment for the management and delivery of safe patient care. In addition… more