- Molina Healthcare (San Antonio, TX)
- …and monitoring clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- Evolent (Austin, TX)
- …and as an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality ... appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Houston Methodist (Houston, TX)
- …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
- Fresenius Medical Center (Houston, TX)
- …appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. + Provides opportunities ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- Fresenius Medical Center (Del Rio, TX)
- …+ Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. + Responsible for ... staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and… more
- Fresenius Medical Center (Farmers Branch, TX)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... federal compliance . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Responsible for supporting...with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are… more
- Fresenius Medical Center (Humble, TX)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for… more
- HCA Healthcare (Lewisville, TX)
- …nurses at Medical City Lewisville have the opportunity to make a real impact. As a Registered Nurse Case Manager PRN you can be a part of change. **Benefits** ... and improve positive outcomes for your patients as a Registered Nurse Case Manager PRN. We want...during weekdays for the first few weeks *_ Our RN Case Managers raise the bar by providing clinical… more
- HCA Healthcare (Denton, TX)
- …City Denton we support our colleagues in their positions. Join our Team as a 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...8:00am-4:30pm Monday - Friday with some weekends *_ Our RN Case Managers raise the bar by providing clinical… more
- HCA Healthcare (Dallas, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits** Medical City ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary...position, 8:00am - 4:30pm with rotating weekends *_ Our RN Case Managers raise the bar by providing clinical… more