- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required… more
- Elevance Health (Grand Prairie, TX)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **$3000 Sign-On Bonus** **Location:...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Houston, TX)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elara Caring (El Paso, TX)
- …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...**What is Required?** + 5+ years Hospice experience + RN license in state of operations that is current… more
- Houston Methodist (Houston, TX)
- …at a Cath Lab Radiologic Technologist II level. Serves as the liaison between management , staff and physicians for routine matters as the primary point of contact ... may include many of the following: organize work schedules, make work assignments, review and edit time cards for accuracy, conduct quality assurance audits of staff… more
- Elevance Health (Houston, TX)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... professional treatment health benefits through live telephonic or written review . **How you will make an impact:** + Uses...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- HCA Healthcare (Live Oak, TX)
- …for our Nurse Manager of Medical Surgical opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock ... **Introduction** Do you have the career opportunities as a(an) Nurse Manager of Medical Surgical you want with your...responsible 24 hours a day for the staffing and management of patient care in each of his/her units,… more
- Highmark Health (Austin, TX)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to interpret and analyze… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Nurse Manager of Med Surg Oncology you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Nurse Manager of Med Surg Oncology where your passion...responsible 24 hours a day for the staffing and management of patient care in each of his/her units,… more
- HCA Healthcare (San Antonio, TX)
- …for our Nurse Manager of Progressive Care opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock ... We care like family! Jump-start your career as a(an) Nurse Manager of Progressive Care today with Methodist Hospital...responsible 24 hours a day for the staffing and management of patient care in each of his/her units,… more
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