- 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 ... on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while… 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
- Community Health Systems (Lufkin, TX)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... and knowledgeable team members to join us. As a Nurse at WoodlandHeights, you'll play a vital role in...perks and discounts **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge planning,… more
- Community Health Systems (Laredo, TX)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **Laredo Medical Center** is currently hiring ** RN Care Manager for the Care Manager department.**...and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
- Community Health Systems (Lufkin, TX)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Woodland Heights** has an opening for a Full time RN House Supervisor **_!_** We provide exceptional care for...and knowledgeable team members to join us. As a Nurse at WoodlandHeights, you'll play a vital role in… more
- Molina Healthcare (Fort Worth, TX)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At… 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
- HCA Healthcare (Frisco, TX)
- …Nonviolent Crisis Intervention must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree Are you passionate about ... Submit your application for Mental Health House Supervisor - RN position and spend more time at the bedside...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical… more
- Community Health Systems (Victoria, TX)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... essential to our mission of delivering high-quality, compassionate care. Whether you're an RN or LVN, you'll be part of a supportive, team-focused environment where… more
- Community Health Systems (Victoria, TX)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The RN Charge oversees the operations of a nursing...nursing staff, coordinates care with healthcare teams, and maintains compliance with healthcare regulations and hospital policies while fostering… more