- Prime Healthcare (Harlingen, TX)
- Overview We are seeking aMedical Surgical Clinical RN Supervisor,sometimes referred to as our Med Surg Clinical Nurse Supervisor or Med Surg Clinical House ... Supervisor. The Medical Surgical Clinical RN Supervisor is responsible for leading and coordinating activities on the Med-Surg unit to promote high-quality,… more
- Highmark Health (Austin, TX)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or… more
- Humana (Austin, TX)
- …**Use your skills to make an impact** **Required Qualifications** + 2+ years Utilization Management experience + Active RN license in the state(s) in ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- HCA Healthcare (San Antonio, TX)
- …is strongly preferred. Minimum License, Certificates, or Registrations: 1. Current TX RN license required. 2. Nurse or Health Informatics Certification ... corporate/division/facility projects related to clinical informatics, including: * standardization * utilization * integration * optimization The CIC is the critical… more
- Elevance Health (Houston, TX)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... time,** **with rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of… more
- Evolent (Austin, TX)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- HCA Healthcare (San Antonio, TX)
- …a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. ... of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and...related field; + 1-year management experience as a charge RN , clinical care manager/supervisor, or manager. **Minimum License, Certificates,… more
- HCA Healthcare (San Antonio, TX)
- …a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. ... of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and...related field; + 1-year management experience as a charge RN , clinical care manager/supervisor, or manager. **Minimum License, Certificates,… more
- Adecco US, Inc. (Fort Worth, TX)
- **Director of Progressive Care Unit (PCU) - RN ** **Location:** Fort Worth, TX **Schedule:** Full-time | Day Shift **Compensation:** $95,000 - $142,000 annually ... (based on RN leadership experience) **Sign-On Bonus & Relocation Assistance:** Available...operational efficiency and budget performance + Monitor staffing, resource utilization , and cost-effectiveness + Participate in strategic planning and… more
- UTMB Health (Galveston, TX)
- Nurse Manager - Labor and Delivery - Galveston **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2505486 **REQUIRED EDUCATION & ... EXPERIENCE:** RN with a Bachelor's degree in nursing. Five (5)...two (2) years of progressive management experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant… more