- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes...3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current… more
- 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
- Humana (Austin, TX)
- …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... Previous experience in utilization management and/or utilization review . + Minimum of two (2) years of proven experience in management or leadership… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for promoting ... an expert level at all objectives delineated in the Utilization Review Nurse and ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- CVS Health (Austin, TX)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence...experience in Nursing. + At least 1 year of Utilization Management experience in concurrent review… more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge ... and healthcare facilities. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate...care experience required. Minimum of two (2) years of utilization review /case management experience and… more
- Molina Healthcare (Houston, TX)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
- HCA Healthcare (Webster, TX)
- …Healthcare Clear Lake we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- AdventHealth (Killeen, TX)
- …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Registered Nurse Work Experience Preferred + Certified Case Manager (CCM)… more
- HCA Healthcare (Tomball, TX)
- …Healthcare Tomball we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current RN License in the State of Texas or Multi-State… more
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