- Actalent (San Antonio, TX)
- Urgent Hiring for " Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and ... complete cases. Qualifications: + 2+ years of utilization management, concurrent review , prior authorization, utilization review , case management, and discharge… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must… more
- Datavant (Austin, TX)
- …+ 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication… more
- Actalent (San Antonio, TX)
- Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical ... decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. +… more
- CVS Health (Austin, TX)
- …implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall ... through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
- HCA Healthcare (Mcallen, TX)
- …we support our colleagues in their positions. Join our Team as a Clinical Nurse Coordinator Medical Post Surgical and access programs to assist with every ... certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Post Surgical opening and...Medical Post Surgical opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...**Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... This position reports to the Community Living Center (CLC) Nurse Manager and is under Extended Care Nursing Service...signs and enters them in and uses the Electronic Medical Record (EMR). Reports all significant deviations to the… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care ... basis until positions are filled. Responsibilities Duties and responsibilities of the Nurse Anesthetist include, but are not limited to the following: Performs… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …work should need only a general review by a registered nurse or medical provider for appropriateness and conformity with established policies/procedures. ... retirement) Telework: Not Available Virtual: This is not a virtual/ remote position. Requirements Conditions of Employment You must be...patient information. Completed work should need only a general review by a registered nurse (RN) or… more