- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts ... this position is able to cover a multitude of utilization review functions through point of entry,...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- 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 ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- Prime Healthcare (Mesquite, TX)
- …We are seeking an RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case ... RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance...an accredited school of nursing and a current state Registered Nurse license. Additional Required Knowledge, Skills… more
- HCA Healthcare (Dallas, TX)
- …1 weekend shift. Shift length may vary and could be from 6-8 hours *_** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- CenterWell (Lubbock, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- AdventHealth (Burleson, TX)
- …equipment used in the healthcare sector. **LICENSURE, REGISTRATION, OR CERTIFICATION REQUIRED:** + Registered Nurse ( RN ) This facility is an equal ... and completes Talent Care accordingly. + Assist with overseeing clinical teams to review utilization and options for product selection. + Assist Director with… more
- HCA Healthcare (San Antonio, TX)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... provides satisfaction and personal growth, we encourage you to apply for our Clinical Manager RN opening. We promptly review all applications. Highly… more
- HCA Healthcare (El Paso, TX)
- **Description** **Introduction** We are seeking a(an) RN Manager Case Management with Del Sol Medical Center to promote growth and unlock possibilities. At HCA ... benefits may vary by location._** We are seeking a(an) RN Manager Case Management for our team...as needed + You will complete accurate and timely utilization review of patient charts to insure… more
- Erickson Living (Houston, TX)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership...care, assisted living or hospital) is required. + Current Registered Nurse license for the state in… more