- Select Medical (Fort Worth, TX)
- …May Apply** **Responsibilities** Under the direction of the Chief Nursing Officer (CNO)/ Nurse Manager (if position applies within hospital), the Nurse Supervisor ... of care under the direction of the Chief Nursing Officer/ Nurse Manager. May provide oversight for the hospital in...nursing staff according to job category through observation and review of documentation. + Monitors the implementation of approved… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more
- HCA Healthcare (Dallas, TX)
- …federal regulation pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement. + Conducts ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...approval of patients in the Rehab unit. Manages the Utilization Review process and maintaining continued stay… more
- Molina Healthcare (Fort Worth, TX)
- …role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate ... timely completion. + Actively participates in the Department auditing program to review and communicate findings with staff and identify opportunities for improved… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... patient satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- HCA Healthcare (Dallas, TX)
- …related to the electronic health record (EHR) including: 1. standardization 2. utilization 3. integration 4. optimization The DCI is responsible for development, ... **Primary Responsibilities:** + Implementation and support of facility-wide standardization, utilization , integration, and optimization activities related to the EHR… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective...Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to… more
- HCA Healthcare (San Antonio, TX)
- …order to facilitate optimum care and health education for patients and appropriate utilization of resources which support daily operation in his/her area. 2. The ... and clinical performance data in his/her areas. 3. Works cooperatively with the Nurse Administrators/ Nurse Managers to communicate daily issues of concern and… more
- Houston Methodist (Houston, TX)
- …Enterprise Health and Epic.** At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care ... regularly works with physicians on employee health assessments. The Occupational Health Nurse PRN position collaborates with Infection Prevention and Control in the… more
- Prime Healthcare (Mesquite, TX)
- …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager ....to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of… more