- Houston Methodist (Houston, TX)
- …in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of ... as the need arises. **EDUCATION** + Bachelor's degree in nursing + Master's degree preferred **WORK EXPERIENCE** + Four...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
- Molina Healthcare (Fort Worth, TX)
- …**Preferred Experience** 3-5 years clinical practice with managed care, hospital nursing , utilization and/or care management experience. **Preferred ... the health plan HCS Department staff. Consults with the Management of HCS to devise and implement corrective action...courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited… more
- Prime Therapeutics (Austin, TX)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At… more
- UTMB Health (Navasota, TX)
- …information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and ... Testing. + Assists with patient activities and care as assigned by the charge nurse /designee as indicated by the patient's plan of care. + Provides for patients'… more
- Molina Healthcare (Houston, TX)
- …Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... QUALIFICATIONS** **Required Education** Graduate from an Accredited School of Nursing . **Required Experience** 3+ years hospital acute care/medical experience.… more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed. + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . + ... functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for both ... Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role?...are appropriate.** **Experience** + **2+ years' experience in case management OR 3+ years' experience in clinical nursing… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for both ... Do you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current...you will need:** + **2+ years' experience in case management OR 3+ years' experience in clinical nursing… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits**...are appropriate. Experience + 2+ years' experience in case management OR 3+ years' experience in clinical nursing… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with...you will need:** + 2+ years' experience in case management OR 3+ years' experience in clinical nursing… more