- Children's Home Healthcare (Amarillo, TX)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... * RN LICENSE REQUIRED, DO NOT APPLY IF YOU...CPR + At least 2 years experience as a Registered Nurse + At least 1 year...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- HCA Healthcare (San Antonio, TX)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and...we encourage you to apply for our Clinical Manager RN opening. We promptly review all applications.… more
- Catholic Health Initiatives (Houston, TX)
- …Care/ICU, dialysis unit and/or transplant experience **Licensure and Certifications Required:** + Registered Nurse : TX + Basic Life Support (BLS-CPR) through the ... **Job Summary and Responsibilities** As an RN Transplant Coordinator, you will be a pivotal...advocacy, driving both individual success and program excellence. + Review medical information, schedule testing, review results… more
- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson...+ Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,… more
- HCA Healthcare (Irving, TX)
- …degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure, Licensed Clinical Social Worker ... interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational...we encourage you to apply for our Director Case Management opening. We promptly review all applications.… more
- Baylor Scott & White Health (Dallas, TX)
- …in nursing or Health Information Management or Health Informatics. Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC). Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Must be a Registered … more
- HealthTrust Workforce Solutions (San Antonio, TX)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an ... management , cost control, contract compliance, quality improvement, utilization management , denials management and...that the following functions of the role are completed: Utilization Review for medical necessity of admission… more
- Deloitte (Dallas, TX)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN , Quality, DRG Validation and… more
- Centene Corporation (Austin, TX)
- …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
- Texas Health Resources (Dallas, TX)
- …Experience Strongly Preferred Women's Services Experience Strongly Preferred Licenses and Certifications RN - Registered Nurse Upon Hire Required And ... Center of Excellence in Robotic Surgery by the Surgical Review Corporation (SRC), a leading organization dedicated to advancing...Degree Nursing Required Experience 3 Years Experience as a registered nurse with previous experience as a… more