- 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
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management ... clinical nursing/patient care experience which includes three years in utilization review , case management or...nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise… 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
- AdventHealth (Mansfield, TX)
- …AND EXPERIENCE REQUIRED:** Associates Degree Nursing or RN Diploma degree or higher Registered Nurse ( RN ) License Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Registered Nurse experience This facility is an equal opportunity employer… more
- Houston Methodist (Nassau Bay, 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
- 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
- Houston Methodist (Nassau Bay, 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
- AdventHealth (Mansfield, TX)
- …Bachelor's of Nursing OR + Bachelors of Social Work and Masters in related field + RN - Registered Nurse - State Licensure and/or Compact State Licensure if ... + Participates, as needed, in hospital/medical staff meetings to review patients meeting criteria related to high dollar/extended length...degree + 3 years of experience in direct Care Management / Utilization Management experience in an… more