- 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 ... concurrent medical record review for medical necessity and level of care...the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs &… more
- MD Anderson Cancer Center (Houston, TX)
- …nursing experience in a hospital or clinic setting, to include experience as a case manager , triage nurse , utilization review nurse , call center ... materials in discharge phone call program and electronic medical record . 2*. Knowledge Acquisition and Management* a. Acquires and...or clinic setting, to include experience as a case manager , triage nurse , utilization review… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, 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...this position is able to cover a multitude of utilization review functions through point of entry, observation progression… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical Excellence ... is a blended role doing both Case Management and Utilization Management. The RN Case Manager is...the member to facilitate the member's overall wellness. Case Manager - Registered Nurse + Develops a… more
- HCA Healthcare (El Paso, TX)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Rehabilitation Case Manager to join our healthcare family. **Benefits** Las ... passion for patient care. Apply today for our Registered Nurse Rehabilitation Case Manager opportunity. **Job Summary... serves as a liaison between medical staff, administration, utilization review, nursing, finance, medical records and… more
- CVS Health (Austin, TX)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- CommonSpirit Health (Houston, TX)
- …in the development and attainment of organizational goals as they pertain to the outcomes/ nurse manager role. 3. Analyzes the cost and quality factors related to ... **Responsibilities** The Manager of Radiologu will have accountability and authority...physicians, Radiology and nursing staff, business and financial services, utilization management and quality management; Utilizes a scientific approach… more
- Fresenius Medical Center (Marble Falls, TX)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing… more
- Fresenius Medical Center (Houston, TX)
- …to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records . + Complies with ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more