- Houston Methodist (Houston, TX)
- **on site- location 8100 Greenbriar, 77054** + ** Registered Nurse preferred** + ** RN with OR/Procedural experience preferred** At Houston Methodist, the ... clinicians in a financially responsible manner. Under the direction of department management and in collaboration with key stakeholders, the Clinical Value Analysis… more
- ChenMed (Houston, TX)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic emergency triage ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- Evolent (Austin, TX)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- MTC (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... Detention Facility in Raymondville, TX** is seeking a dedicated RN to provide compassionate care and support to individuals...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- Houston Methodist (Sugar Land, TX)
- …the Charge Nurse II Department Premium position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at ... progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more
- Molina Healthcare (Houston, 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
- Houston Methodist (Sugar Land, TX)
- …experience + Occupational health nursing experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality...employee, volunteer and allied health assessments, on-going employee health management and education as well as for cause drug… more
- UTMB Health (Angleton, TX)
- Nurse Clinician IV ( RN ) - ICU Angleton (Nights) **Angleton, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504361 ... **REQUIRED EDUCATION & EXPERIENCE:** RN with bachelor's in nursing,...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more
- Molina Healthcare (San Antonio, TX)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Houston Methodist (Houston, TX)
- …HMWB (Willowbrook) HMTW (The Woodlands), HMSL (Sugar Land), HMCY (Cypress) At Houston Methodist, the Registered Nurse ( RN ) PRN position is a licensed staff ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more