- Actalent (Austin, TX)
- …+ Work with providers to approve determinations or provide recommendations based on review findings + Educate providers on utilization processes to ensure ... Clinical Review Nurse - Concurrent Review Location:...with 2-4 years of related experience + Required Licensure: LPN/ LVN or RN - Compact State License + Strong… more
- Actalent (Austin, TX)
- …systems + Work with providers to approve or recommend determinations based on review findings + Educate providers on utilization processes to ensure high-quality ... Clinical Review Nurse - Concurrent Review Location:...with 2-4 years of related experience + Required Licensure: LPN/ LVN or RN - Compact State License + Strong… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This vacancy will remain open until ... The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/ LVN ) 6 is to perform assigned duties in a...understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room… more
- Abbott (Plano, TX)
- …insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . Some experience in medical device or DME ... insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Experience in medical device or DME… more
- Fresenius Medical Center (Humble, TX)
- …appropriate tasks to direct patient care staff including but not limited to RNs, LVN /LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease ... accommodation can be made. **SUPERVISION:** + Assigned oversight of Patient Care Technicians// LVN /LPNs/RNs as a Team Leader or designated Nurse in Charge, after… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... performed within the **RN/ LVN /LPN** scope of practice, under the Medical Director's direction,...medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Datavant (Austin, TX)
- …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- MTC (Raymondville, TX)
- …nursing director with the exception of routine duties assigned to the nurse ( LVN ) in compliance with MTC Medical and customer directives. **Essential Functions:** + ... utilize appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more