- Elevance Health (Grand Prairie, TX)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required… more
- AdventHealth (Mansfield, TX)
- …Cert Must possess and maintain current, valid license in one of the following: Registered Nurse ( RN ) OR Radiologic Technologist [R.T.(R)] This facility is ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...patient throughput Produce an accurately written, promptly completed medical record for each patient based on the scope and… more
- Erickson Living (Houston, TX)
- …(skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current ... meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee + Provides… more
- CenterWell (Houston, TX)
- …infection control and attendance **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... and responsibilities as required + Participate in and lead interdisciplinary review of and coordination around complex patients + Maintain patient confidentiality… more
- Public Consulting Group (Austin, TX)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels within the State… more
- HCA Healthcare (San Antonio, TX)
- …a plus. + Minimum of 3 years clinical RN Experience in acute setting. + RN License to practice as a professional registered nursing in the state of Texas or ... Guardian of Excellence Award(R) by Press Ganey. Join our record setting team today! "Bricks and mortar do not...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- STG International (Temple, TX)
- STGi is currently seeking a Charge Nurse ( RN or LVN) to provide services at The William R. Courtney Texas State Veterans Home. The William R. Courtney Texas ... resident care and initiate corrective action as necessary. 3. Obtain report from nurse being relieved and record sufficient information to implement appropriate… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must reside ... or holidays will be required** . The Case Manager RN is responsible for telephonically and/or face to face...- Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Molina Healthcare (San Antonio, TX)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Houston Methodist (Sugar Land, TX)
- …the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and concurrent ... medical record review for medical necessity and level...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more