- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CVS Health (Austin, TX)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Austin, TX)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in CT zones **Education**… more
- CVS Health (Austin, TX)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- Texas Health Resources (Arlington, TX)
- …providers and other hospital personnel in understanding payor plans, resolving utilization management issues and assigning appropriate patient classification as ... Registered Nurse (RN) - Case Manager - PRN Work...1. Maintains a current knowledge of regulatory requirements for utilization management including but not limited to… more
- Houston Methodist (Houston, TX)
- …for employee engagement. **SERVICE ESSENTIAL FUNCTIONS** + Collaborates with anesthesia, OR charge nurse , and OR management to maximize efficiency and flow of ... At Houston Methodist, the Perioperative Nurse Coordinator position is an experienced Operating Room...timeframes, and respond accordingly. Provides input regarding OR block utilization and management . + Reviews the OR… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Practitioner (NP) First Assist position is responsible for functioning as an advanced practice practitioner maintaining and promoting ... Assist position will assist the physician in the global management of patient care in all peri-operative settings; the...inpatient and outpatient settings and perform according to the nurse practice act of the State of Texas and… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Professional Practice Leader position serves as a consultant and subject matter clinician for a service line/specialty area, functioning at ... level of Benner's model, serving as a subject matter consultant and educator responsible for staff development, care outcomes,...and efficiency. The NPM is a clinically active registered nurse who also mentors staff and liaises with internal… more
- Houston Methodist (Tomball, TX)
- …Practice Provider - Primary Care position may be either a license Nurse Practitioner or licensed Physician Assistant. NP positions effect direct patient care ... FUNCTIONS** + Demonstrates leadership as a clinical resource, interprofessional consultant , and patient/family advocate. Identifies staff development opportunities for… more