- CVS Health (Austin, TX)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... and can include either a 30 or 60 min unpaid lunch.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all… more
- Molina Healthcare (San Antonio, TX)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support... licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review… more
- MTC (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... Detention Facility in Raymondville, TX** is seeking a dedicated RN to provide compassionate care and support to individuals...of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are… 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
- Molina Healthcare (San Antonio, TX)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. MULTI… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... to service line or hospital-wide initiatives in partnership with management . The RN II Float will be...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float General Acute position is a licensed staff nurse , an experienced clinician, functions at the ... to service line or hospital-wide initiatives in partnership with management . The RN II Float General Acute...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Labor & Delivery position is a licensed staff nurse , an experienced clinician, functions at the ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Periop. Servs position is a licensed staff nurse , an experienced clinician, functions at the ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more
- Houston Methodist (Houston, TX)
- …Unit At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse ( RN ) who, as an experienced clinician, functions at the ... progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more