- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …committed to serving the veteran. Direct Care Licensed Vocational Nurses assist the Registered Nurse in the coordination of care focused on patient transition ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This vacancy will remain open until… more
- Elevance Health (Grand Prairie, TX)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid...review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- Datavant (Austin, TX)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Houston Methodist (Houston, TX)
- …medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
- Houston Methodist (Sugar Land, TX)
- …assigned patient population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
- Texas Health Resources (Bedford, TX)
- …management growth inclusive of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW ... with outpatient care management. Directs the activities of the Care Transition Managers ( RN & SW). Serves as a content expert on the following: Compliance with… more
- Highmark Health (Austin, TX)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- HCA Healthcare (Dallas, TX)
- …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to… more
- Houston Methodist (Houston, TX)
- …two of those years with people management experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- HCA Healthcare (San Antonio, TX)
- …disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending Psychiatrists, ... Has and maintains ONE of the following:** A. Licensed Registered Nurse to practice professional nursing in...to practice professional nursing in the state of Texas ( RN ) B. Licensed Master Social Worker (LMSW) C. Licensed… more