- UTMB Health (Friendswood, TX)
- …from an accredited school of Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum of five (5) years full-time wage ... quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical...earning experience as a professional nurse in a healthcare setting with at least two… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (The Woodlands, 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 ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management… 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 ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- HCA Healthcare (Austin, TX)
- …you will need:** Experience * 5 years of clinical nursing experience as a NICU Registered Nurse ( RN ) Education * Associates Degree in Nursing (ADN) * ... the patient flow program effectiveness as it relates to utilization review , resource management and discharge planning...preferred License and Certifications * Current State of Texas Registered Nurse ( RN ) license or… more
- Houston Methodist (The Woodlands, TX)
- …and timely manner. Takes messages via telephone/email to forward to the provider/ registered nurse . + Contributes towards improvement of department scores for ... to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the… more
- Houston Methodist (Pearland, TX)
- …and timely manner. Takes messages via telephone/email to forward to the provider/ registered nurse . + Contributes towards improvement of department scores for ... to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the… more
- Apex Health Solutions (Houston, TX)
- …area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) or Social Worker (LMSW) LICENSES/CERTIFICATIONS: ... Registered Nurse ( RN ) or Licensed Master Social Worker...of care. Provides medication management support, including comprehensive medication review and adherence education Communicates, collaborates and cooperates with… 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._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more