- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management, Nurse Case Manager ... development in practice with increased levels of self-direction. Uses Utilization Management criteria to perform basis review ...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- Molina Healthcare (Fort Worth, TX)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...growth, we encourage you to apply for our RN Case Manager PRN opening. We review… more
- HCA Healthcare (San Antonio, TX)
- …of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...encourage you to apply for our Case Manager RN opening. We promptly review all… more
- HCA Healthcare (Pasadena, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly ... you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Houston, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly ... like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more