- UTMB Health (Galveston, TX)
- …seven (7) years of relevant experience. + Holds current licensure as a registered nurse in the state of Texas. **Preferred Qualifications:** + **_Certification ... analytics and reporting, financial management and ensuring operations function in a manager that complies with standards of practice. + Responsible for developing… more
- Elevance Health (Cleveland, TX)
- …Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Highmark Health (Austin, TX)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans to… more
- UTMB Health (Galveston, TX)
- …Health Requisition # 2506825 The Patient Placement Coordinator Team Leader (non- RN ) functions independently in an advanced placement role, providing consistent ... direction during their shift to optimize patient throughput and maximize bed utilization . This position serves as a resource for departmental processes, offering… more
- HCA Healthcare (San Antonio, TX)
- …in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill...of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and… more
- HCA Healthcare (San Antonio, TX)
- …in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill...of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and… more
- Elevance Health (Houston, TX)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... time,** **with rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of… more
- Elevance Health (Grand Prairie, TX)
- …complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is accountable to ... Healthcare Management Program including disease management, case management, and utilization management. + Partners with Provider Relations, Quality Management,… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... in the design, collection, and reporting of adverse drug reactions, drug utilization reviews, medication errors and pharmacy quality initiatives + Leads the training… more
- CenterWell (Austin, TX)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge,...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
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