- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Nurse Consultant position: _Utilization Management is a 24/7 operation and work ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CenterWell (Austin, TX)
- …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and… more
- Houston Methodist (Houston, TX)
- …hospital units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and ... At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse...interprofessional health care team to ensure resource utilization is appropriate to the patient's clinical needs and… more
- AdventHealth (Mansfield, TX)
- …and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors ... mirror peak census times with a high focus on nurse leader visits on days and nights. Discuss further...a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all ... efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, all… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide competent, ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Charge Nurse II Department Premium position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, ... to fulfilling the duties and responsibilities of a clinical nurse , the Charge Nurse II Dept Prem...with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees… more