- Molina Healthcare (San Antonio, TX)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- Catholic Health Initiatives (Sugar Land, TX)
- …Other Case Management or Nursing field. and 1 year of experience, upon hire and + Registered Nurse : TX, upon hire and + Basic Life Support - CPR, within 90 ... **Job Summary and Responsibilities** As a RN Care Coordinator, you will be a central...multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.… more
- Community Health Systems (Granbury, TX)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable days and… more
- Elevance Health (Odessa, TX)
- **LTSS Service Coordinator - RN ** **Location:** Candidate should reside in Ector, Midland, or Odessa TX. **Field** : This field-based role enables associates to ... unless an accommodation is granted as required by law._ The **LTSS Service Coordinator- RN ** is responsible for overall management of member's case within the scope… more
- HCA Healthcare (San Antonio, TX)
- …or baccalaureate degree nursing program. Preferred: Bachelor of Science in Nursing + RN License to practice as a professional registered nursing in the ... organization that invests in you as a Case Manager RN ? At Methodist Hospital Stone Oak, you come first....physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA… more
- HCA Healthcare (San Antonio, TX)
- …or baccalaureate degree nursing program. **Preferred:** Bachelor of Science in Nursing + RN License to practice as a professional registered nursing in the ... vary by location._** We are seeking a(an) Case Manager RN for our team to ensure that we continue...physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA… more
- Elara Caring (Irving, TX)
- …Current State License as required by state or federal guidance + Licensed physician, registered nurse or holds an undergraduate degree + 3+ years healthcare ... and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key… more
- HCA Healthcare (San Antonio, TX)
- …is recognized. Submit your application for the opportunity below: RN Coordinator Patient ThroughputMethodist Hospital Texsan **Benefits** Methodist Hospital ... benefits may vary by location._** We are seeking an RN Coordinator Patient Throughput for our team to ensure...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
- HCA Healthcare (San Antonio, TX)
- …or baccalaureate degree nursing program. + Bachelor of Science in Nursing, preferred. + RN License to practice as a professional registered nursing in the state ... + Minimum of 3 years clinical experience as an RN + One year experience in utilization ...an RN + One year experience in utilization review, resource management, discharge planning or case management.… more
- UTMB Health (League City, TX)
- Operating Room Nurse Clinician IV ( RN ) - Victory Lakes **League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2507059 ... **REQUIRED EDUCATION & EXPERIENCE:** RN with bachelor's in nursing,...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more