- Houston Methodist (Sugar Land, 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
- Centene Corporation (Austin, TX)
- …4-6 years of related experience. Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... have access to competitive benefits including a fresh perspective on workplace flexibility. ** Registered Nurse Case Manager needed in** **West Texas: Reside near… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied cases… more
- Houston Methodist (Sugar Land, TX)
- …+ Occupational health nursing experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... reporting of occupational injuries and illnesses, return-to-work status, case management , immunization administration and compliance , safe patient...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- CenterWell (Lubbock, TX)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers....School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Houston Methodist (Houston, TX)
- …+ Two years of leadership experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Molina Healthcare (TX)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- AdventHealth (Burleson, TX)
- …equipment used in the healthcare sector. **LICENSURE, REGISTRATION, OR CERTIFICATION REQUIRED:** + Registered Nurse ( RN ) This facility is an equal ... Clinical Resource Manager reports to the Director of Strategic Clinical Resource Management and Value Analysis. The Senior CRM provides leadership and consultation… more
- HCA Healthcare (San Antonio, TX)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... you have the career opportunities as a Clinical Manager RN you want with your current employer? We have...Quality Review Specialist) to ensure the medical records reflect compliance with medical necessity, homebound status, visit utilization… more
- Molina Healthcare (Fort Worth, TX)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more