- CVS Health (Austin, TX)
- …Must be able to obtain multi state Registered Nurse ( RN ) licensures **Preferred Qualifications** + Case Management Certification + Transplant experience ... and every day. **Position Summary** This Case Manager - Registered Nurse ( RN ) position is...blended role doing both Case Management and Utilization Management . The RN Case… more
- HCA Healthcare (Houston, TX)
- …to physicians, patients, families and caregivers **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree ... the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can...case management scope of services including + Utilization Management supporting medical necessity and denial… more
- HCA Healthcare (Houston, TX)
- …to physicians, patients, families and caregivers **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree ... We care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA...case management scope of services including + Utilization Management supporting medical necessity and denial… more
- CVS Health (Austin, TX)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… 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
- Molina Healthcare (Fort Worth, TX)
- …and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... team partners. This position uses sound clinical judgement in the Utilization Management process and knowledge of regulatory requirements to make appropriate… 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 (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... to service line or hospital-wide initiatives in partnership with management . The RN II Float will be...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... 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