- Houston Methodist (Sugar Land, TX)
- …of 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
- 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 ... which includes two (2) years in case management **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas… more
- Houston Methodist (The Woodlands, TX)
- …work 1pm - 9pm. At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure -… more
- Molina Healthcare (TX)
- …and experience. or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). Clinical licensure and/or certification required ... deadlines. * Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications * Registered Nurse ( RN ). License must be active… more
- Houston Methodist (The Woodlands, TX)
- …clinical experience + One year of surgical experience **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas ... and graduate from an accredited Nurse Practitioners program **EXPERIENCE** + Two years of registered nurse , advanced practice or nurse practitioner… more
- Houston Methodist (The Woodlands, TX)
- …II Operating Room (OR) Department Premium WA Periop position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at ... year in specialty preferred **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse -...with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees… more
- Houston Methodist (Katy, TX)
- …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure ... strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for… more
- Prime Therapeutics (Austin, TX)
- …provided by the Manager, Patient Programs. **Minimum Qualifications** + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At minimum… more
- Deloitte (Dallas, TX)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- HCA Healthcare (North Richland Hills, TX)
- …degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure, Licensed Clinical Social Worker ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more