- Houston Methodist (Baytown, TX)
- …knowledge, and skills. + Contributes to department plans for resource utilization and capital needs to meet department financial target. **GROWTH/INNOVATION ... accredited school of Nursing and graduate from an accredited Nurse Practitioners program **WORK EXPERIENCE** + Two years of...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- For NP, Compact… more
- Evolent (Austin, TX)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.… more
- MTC (Livingston, TX)
- …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more
- UTMB Health (Galveston, TX)
- Cluster Nurse Manager - CMC - Galveston County Jail **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2505552 The mission of ... and implements quality assurance/improvement programs at the facilities. + Implements utilization management programs at the facilities. + Assumes 24 hour… more
- Fresenius Medical Center (Austin, TX)
- …direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... Bloodborne Pathogen Control Policies. **ADMINISTRATIVE:** + Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to… more
- CVS Health (Austin, TX)
- …RN states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to ... 5 years clinical practice experience as an RN - 6+ months Case Management or Utilization Management experience - Must be able to work Monday through Friday 8:00am to… more
- MTC (Raymondville, TX)
- …use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute ... security and confidentiality of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are documented. + Closely monitor all potential catastrophic illnesses. + Comply with all applicable pharmacy laws,… more
- AccentCare, Inc. (Round Rock, TX)
- …Reporting and management of case management model with focus on paraprofessional utilization - including correct visit types selected, continuity of clinical team, ... capacity management, etc. + Maintain clinician productivity within organization standard parameters (defined in KPIs) - including tenured productivity to target, recent hire productivity, etc. + Monitor workflows to ensure SLA are met for sync time,… more
- Fresenius Medical Center (San Antonio, TX)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... Responsible for all required network reporting and on-site state or federal surveys.PATIENT CARE: + Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. + Ensure education of the patient… more
- Fresenius Medical Center (Waco, TX)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... Responsible for all required network reporting and on-site state or federal surveys. PATIENT CARE: + Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. + Ensure education of the patient… more