- AdventHealth (Mansfield, TX)
- …care and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, ... all ages, and a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who adheres to the goals,… more
- 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
- CenterWell (Austin, TX)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare +… 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
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as… more
- HCA Healthcare (Houston, TX)
- …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** The Woman's ... passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved… more
- MD Anderson Cancer Center (Houston, TX)
- …nursing experience in a hospital or clinic setting, to include experience as a case manager , triage nurse , utilization review nurse , call center ... experience in a hospital or clinic setting, to include experience as a case manager , triage nurse , utilization review nurse , call center nurse or… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical Excellence ... is a blended role doing both Case Management and Utilization Management. The RN Case Manager is...the member to facilitate the member's overall wellness. Case Manager - Registered Nurse + Develops a… more
- HCA Healthcare (Kingwood, TX)
- …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston ... passion for patient care. Apply today for our Registered Nurse RN Case Manager opportunity. **Job Summary...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Houston, TX)
- …Houston Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** HCA ... positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want your...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more