- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Texas Health Resources (Dallas, TX)
- …* One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed Master Social Worker Upon Hire Req or ... resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective utilization … more
- HCA Healthcare (Live Oak, TX)
- …order to facilitate optimum care and health education for patients and appropriate utilization of resources which support daily operation in his/her area.** 2. The ... performance data in his/her areas. 3. Works cooperatively with the Nurse Administrators/ Nurse Managers to communicate daily issues of concern and maintain… more
- Baylor Scott & White Health (Grapevine, TX)
- Join Baylor Scott and White Medical Center - Grapevine as a Registered Nurse and be part of something better! **Intensive Care Unit** Our Intensive Care Unit is a ... Strong collaboration with ICU Physicians/Surgeons, Committees/Unit Based Council, Furthering Education- Nurse Practitioner, CRNA, etc. Excellent culture of teamwork, learning… more
- Texas A&M University System (Fort Worth, TX)
- …of related clinical experience in obstetrics as an Advanced Practice Registered Nurse , including experience in managing and collaborating on high-risk pregnancies in ... APRN license in the State of Texas + Board Certification as a Certified Nurse Midwife (CNM), Women's Health Care Nurse Practitioner (WHNP-BC (TM) ), or… more
- Health Care Service Corporation (Richardson, TX)
- …in a variety of behavioral health clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, ... services to the customer. **JOB REQUIREMENTS** **:** + Registered Nurse (RN), with current, unrestricted license to practice in...direct clinical care to the consumer. + 2 years utilization review/ managed care experience. + Leadership skills. +… more
- Amgen (Houston, TX)
- …support optimal patient care. As an Account Manager, you will drive product utilization while identifying and addressing the unique needs of each account. This ... managers. + Coordinate internal matrix teams (eg, MSLs, Market Access, Nurse Educators, TLLs) to deliver integrated, account-specific solutions that drive long-term… more
- ChenMed (Houston, TX)
- …3,500 to 4,000 patients ( _with the support of the Care Team and Nurse Practitioner/Physician Assistant_ ). + Assesses patient's ability to withstand the stresses of ... requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation… more
- Baylor Scott & White Health (Waco, TX)
- **JOB SUMMARY** The Registered Nurse (RN) Charge is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery ... by the health care team. In the capacity of Charge Nurse , works in the best interests of BSWH and accepts increased responsibility to support and carry out BSWHs… more
- Baylor Scott & White Health (Grapevine, TX)
- Join Baylor Scott and White Medical Center - Grapevine as a Registered Nurse and be part of something better! **Intensive Care Unit** Our Intensive Care Unit is a ... Strong collaboration with ICU Physicians/Surgeons, Committees/Unit Based Council, Furthering Education- Nurse Practitioner, CRNA, etc. Excellent culture of teamwork, learning… more