- Molina Healthcare (Dallas, TX)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …patients with third-party insurance. Promotes Veteran registration for and utilization of My HealtheVet (MHV); Schedules Veteran appointments with community ... Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively… more
- HCA Healthcare (Fort Worth, TX)
- …facility improvement projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. + Collaborates with clinicians and ... SW Case Manager with responsibility for discharge planning and utilization resources. Competent in data analysis; excellent verbal and...with temporary permit to practice from the Board of Nurse Examiners for the State of Texas; LMSW or… more
- Sedgwick (Austin, TX)
- …for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or ... required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality...+ Knowledge of ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems… more
- Amgen (San Antonio, TX)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- System One (Houston, TX)
- …Build out effective Category Strategies by performing analysis on internal utilization , external benchmarking, identify optimized cost models, and develop an ... out and leverage data sources and reports to conduct utilization analysis to monitor and manage spend data within...field, as well as a clinic with a certified nurse practitioner. Office noise will be low and generally… more
- Fortive Corporation (Fort Worth, TX)
- …positive Customer experiences. + Drive market share through existing customer utilization assessments and contending for new footprint expansion while developing ... Integrated Delivery Networks (IDN), including the following: Supply Chain, Nurse Managers, Risk Management, and Sterile Processing, Materials Management,… more
- ZOLL Medical Corporation (San Antonio, TX)
- …include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- UTMB Health (Tennessee Colony, TX)
- …Testing. + Assists with patient activities and care as assigned by the charge nurse /designee as indicated by the patient's plan of care. + Provides for patients' ... at all times. + Practices basic cost containment and utilization management for patient care and facility operations. +...extended or alternate shifts in situations deemed necessary by nurse manager. + Able to work under stress and… more
- AdventHealth (Burleson, TX)
- …of selected patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources; and provides input and ... information to the interdisciplinary team via the Charge Nurse to achieve optimal clinical and resource outcomes. The...in Nursing. Currently licensed to practice as a Registered Nurse in the state of Texas, or in a… more