- Molina Healthcare (Fort Worth, TX)
- …team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management activities ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
- AdventHealth (Burleson, TX)
- …License **_EDUCATION AND EXPERIENCE PREFERRED:_** 2-3 years in hospital quality, case management , utilization review , or performance improvement. Strong ... winning facility and departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology and top experts including… more
- HCA Healthcare (San Antonio, TX)
- …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case management ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- HCA Healthcare (San Antonio, TX)
- …program. Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed. + Prefer at least one year experience in utilization review , resource management , discharge planning or case management ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of... RN License to practice as a professional registered nursing in the state of Texas or Active… more
- HCA Healthcare (San Antonio, TX)
- …program. Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...clinical RN Experience in acute setting. + RN License to practice as a professional registered… more
- CenterWell (Austin, TX)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Houston Methodist (Houston, TX)
- …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position...excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of… more
- Houston Methodist (Sugar Land, TX)
- …the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target patient population on a ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance… more