- 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 (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN 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)
- …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
- Baylor Scott & White Health (Austin, TX)
- …Benefits may vary based on position type and/or level **Job Summary** As the Utilization Review RN you will review patient cases for medical necessity and establish ... in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels of care. + Excellent communication skills… more
- Elevance Health (Grand Prairie, TX)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ " The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- Elevance Health (Grand Prairie, TX)
- ** Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in person training ... **Hours:** Monday - Friday, 8am - 5pm PST The ** Utilization Management Representative I** is responsible for coordinating cases...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… 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
- 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
- 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** HCA Houston ... passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and...patient's baseline. + Maintains a balance of supplies for utilization during procedures while being cost conscious. + Is… more
- UTMB Health (Webster, TX)
- Nurse Manager - Cath Lab (Clear Lake) **Webster, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2503366 **Minimum Qualifications:** ... years of progressive management experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant Nurse Manager ) required. Current… more