- Houston Methodist (The Woodlands, 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
- HCA Healthcare (Austin, TX)
- …of Austin we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- HCA Healthcare (Austin, TX)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- 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
- Fresenius Medical Center (Paris, TX)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (San Antonio, TX)
- + Level Description' Management ' Leveling Guide consists of jobs with the responsibility, accountability, and decision-making authority to develop and implement ... with implementation of policies and procedures for the clinical staff.Impact* Management of professionals and support staff. Responsible for setting objectives for… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want...supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management … more
- Fresenius Medical Center (Athens, TX)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Molina Healthcare (TX)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more