- HCA Healthcare (Houston, TX)
- …learning is important to you, we encourage you to apply for our Registered Nurse opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse and access programs to assist with every stage...patient's baseline. + Maintain a balance of supplies for utilization during procedures while being cost conscious. **What qualifications… more
- HCA Healthcare (Tomball, TX)
- …next step in your career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a Registered Nurse RN Case Manager PRN you want in your...supporting a balance of optimal care and appropriate resource utilization ** **What qualifications you will need:** + **Current Registered… more
- HCA Healthcare (Arlington, TX)
- …next step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role?...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- MTC (Livingston, TX)
- …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more
- Fresenius Medical Center (Houston, TX)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Fresenius Medical Center (Paris, TX)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- MTC (Raymondville, TX)
- …use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute ... and confidentiality of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are documented. + Closely… more
- Molina Healthcare (Fort Worth, TX)
- …or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (San Antonio, TX)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more