- 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
- 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 (Cypress, TX)
- …to physicians, patients, families and caregivers **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree ... Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want...case management scope of services including + Utilization Management supporting medical necessity and denial… more
- Community Health Systems (Granbury, TX)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable… more
- CVS Health (Austin, TX)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... and can include either a 30 or 60 min unpaid lunch.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all… 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
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise… 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 ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- HCA Healthcare (Brownsville, TX)
- …nurses at Valley Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse RN Case Manager....patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in alignment… 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