- BrightSpring Health Services (Houston, TX)
- …at least one year 1 year of IDD or SNF related experience.* License as a Registered Nurse ( RN ), current and in good standing in assigned geography* Valid ... Works with nursing personnel on survey preparation/ chart reviews/staffing concerns/ED utilization and hospital admission reduction.* Provides survey management … more
- Catholic Health Initiatives (Houston, TX)
- …turnover and utilization **Qualifications** **Minimum Requirements:** **Education and Licensure:** + Registered Nurse ( RN ) + Two (2) years of operating ... and Procedure Manual as necessary for problem‐solving + Assists in cost management , including participation in product evaluation and inventory management , room… more
- Catholic Health Initiatives (Pasadena, TX)
- …employees. 6.Has an identified council structure with an elected Staff Nurse Professional Practice Council representative. Conducts unit council meetings monthly ... programs. 21. Demonstrates accountability for human and material resource management with division guidelines and standards by monitoring, correcting variances… more
- Elevance Health (Corpus Christi, TX)
- …Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Elevance Health (TX)
- …nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical ... **Seeking bilingual Spanish-speaking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states:… more
- Elevance Health (Grand Prairie, TX)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** **Location:** Virtual: This role enables... license in applicable state(s) required. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
- HCA Healthcare (San Antonio, TX)
- …Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... a day, with full accountability, for the staffing and management of patient care in each of his/her units,...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- CommonSpirit Health at Home (Houston, TX)
- …embody our mission of delivering hope and healing to those we serve. As a Manager , Clinical Services you will contribute to the delivery of high quality care by ... of clinical care follows a physician's approved plan of treatment. The Manager , Clinical Services facilitates the completion of documentation to comply with… more