- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable. + Knowledge, ... a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts ... three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State… more
- Houston Methodist (Houston, TX)
- …oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for ... initiatives. + Provides strategic vision and execution for case management and utilization review across...enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Cognizant (Austin, TX)
- …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... to service line or hospital-wide initiatives in partnership with management . The RN II Float will be...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float General Acute position is a licensed staff nurse , an experienced clinician, functions at the ... to service line or hospital-wide initiatives in partnership with management . The RN II Float General Acute...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Labor & Delivery position is a licensed staff nurse , an experienced clinician, functions at the ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Periop. Servs position is a licensed staff nurse , an experienced clinician, functions at the ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more
- Houston Methodist (Houston, TX)
- …the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management , which includes care transitions ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance… more