- 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 ... nursing care for residents by implementing specific procedures/programs and being in compliance with all STGi policies and procedures, state regulations and federal… more
- Molina Healthcare (San Antonio, TX)
- …within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied cases ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (El Paso, TX)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
- Fresenius Medical Center (Fort Worth, TX)
- …in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + May assist ... Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine… more
- Fresenius Medical Center (Houston, TX)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… 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 and ... and emergency care patients designated for admission to ensure compliance with CMS guidelines regarding appropriateness of level of...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Milliman l...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (The Woodlands, 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 ... and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Millman l...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Fresenius Medical Center (Bryan, TX)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... **No Experience Necessary** - Comprehensive Paid Training Provided RN Tuition Assistance Available Low-Cost Benefits (Medical, Dental,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- Evolent (Austin, TX)
- …Registered Nurse + Associate or Bachelors in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain MNGT setting is preferred. + Strong ... it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the...in on-going training programs to ensure quality performance in compliance with applicable standards and regulations, as well as,… more