- 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
- Catholic Health Initiatives (The Woodlands, TX)
- …in a tertiary acute care hospital and a minimum of five (5) years of management experience at the nurse manager level or above. *Excellent clinical ... Key Job Responsibilities: The Director of Critical Care serves as the management representative for the ICU/IMU in fostering relationships that maintain trust and… more