- Molina Healthcare (Houston, TX)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Erickson Living (Dallas, TX)
- …skilled nursing staff on MDS processes and documentation requirements What you will need + RN licensed to practice in the state. + Minimum of 2 years of experience ... processes, including but not limited to MDS, RAPs, Care Planning, and Utilization Review. + Experience documenting in an Electronic Medical Record (EMR) preferred.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse ( RN ) who responsible for facilitation of the functional and ... the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with...experience highly preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (The Woodlands, TX)
- …clinical experience + One year of surgical experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... department specifications. + Contributes to department plans for resource utilization and capital needs to meet department financial target....degree in Nursing **WORK EXPERIENCE** + Two years of registered nurse , advanced practice or nurse… more
- UTMB Health (Friendswood, TX)
- …from an accredited school of Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum of five (5) years full-time wage ... quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/Case Management program by utilizing clinical knowledge, expertise,...earning experience as a professional nurse in a healthcare setting with at least two… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and… more
- Baylor Scott & White Health (Dallas, TX)
- …in nursing or Health Information Management or Health Informatics. + Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC). Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Must be a Registered … more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... patients and reimbursement for the hospital. + Applies approved utilization criteria to monitor appropriateness of admissions, level of...management experience preferred **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 ... Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- United Therapeutics (Austin, TX)
- …experience, including ICU and critical care of PAH, cardiology or pulmonology patients + Registered Nurse ( RN ) - State Licensure and/or Compact State ... initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical...Licensure RN - Registered Nurse - State Licensure and/or Compact… more