- 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...forecasts to manage ongoing category activities + Conduct ongoing review of market and industry trends to inform category… more
- Molina Healthcare (TX)
- **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws....focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject… more
- Catholic Health Initiatives (Houston, TX)
- …the referral and evaluation process for potential transplant candidates. Review medical information, schedule testing including physician and coordinator ... consultations, collect data, review results and compile data for presentation of patient's...collaborating with the entire team to control LOS, ICU utilization and document variances. + Serve as a clinician… more
- AdventHealth (Burleson, TX)
- …winning facility and departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology and top experts including ... of selected patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources; and provides input and… more
- AdventHealth (Burleson, TX)
- …winning facility and departments including "Great Place to Work" by Becker's Hospital Review and Gallup. + Work with the latest technology and top experts including ... of selected patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources; and provides input and… more
- AdventHealth (Burleson, TX)
- …winning facility and departments including "Great Place to Work" by Becker's Hospital Review and Gallup. + Work with the latest technology and top experts including ... of selected patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources; and provides input and… more
- Prime Healthcare (Weslaco, TX)
- …a Quality Assurance RN Coordinator , also referred to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN ... accreditation standards. Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core Measures and… more
- Houston Methodist (Houston, TX)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure...Licensure within 60 days **OR** + RN-Temp - Registered Nurse - Temporary State Licensure within 60 days +… more
- HCA Healthcare (Corpus Christi, TX)
- …as we do. We want you to apply! **Job Summary and Qualifications** The Nurse Case Manager is responsible for the coordination and efficient utilization of ... need:** + Basic Cardiac Life Support + (RN) Registered Nurse + Bachelors Degree, or Associate Degree Corpus Christi...for our Case Manager Prof Other opening. We promptly review all applications. Highly qualified candidates will be directly… more
- HCA Healthcare (Plano, TX)
- …the emergency department and inpatient medical units. Per Physician or Nurse Practitioner/Physician Assistant order, Assessment Specialists provide level of care ... VPLC. + Document all Initial Assessment, Re-Assessment, or Chart Review in 1 of the 3 EHRs utilized by...is not available and sent to clinical stakeholder for utilization and record keeping at facility. + Copy of… more