- Evolent (Austin, TX)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management … 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)
- …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
- Apex Health Solutions (Houston, TX)
- …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider… more
- Houston Methodist (Houston, TX)
- …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Conducts record review for performance improvement, peer review , patient safety, risk management and other...Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role… more
- AdventHealth (Burleson, TX)
- …Nursing **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
- Prime Healthcare (Harlingen, TX)
- Overview We are seeking an RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager ... RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance...an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to… more
- HCA Healthcare (Dallas, TX)
- …1 weekend shift. Shift length may vary and could be from 6-8 hours *_** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
- HCA Healthcare (Austin, TX)
- …evaluate, monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management and discharge planning and care ... team, Nursing, Social Work, PT, OT, Speech and Case Management . * You will serve as the educational leader...5 years of clinical nursing experience as a NICU Registered Nurse ( RN ) Education *… more