- 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... treatment outcomes. The CM Certified position holds joint accountability with social workers for discharge planning and continuity of care and assures that admission… more
- CenterWell (Austin, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Houston Methodist (Houston, TX)
- …manner. Takes messages via telephone/email to forward to the provider/registered nurse . + Contributes towards improvement of department scores for employee ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the provider team,… more
- Houston Methodist (Houston, TX)
- …manner. Takes messages via telephone/email to forward to the provider/registered nurse . + Contributes towards improvement of department scores for employee ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the provider team,… more
- Houston Methodist (Houston, TX)
- …level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality support of patient ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow prior to… more
- Houston Methodist (Webster, TX)
- …population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie Hand Hygiene ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow prior to… more
- Houston Methodist (Houston, TX)
- …compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement, peer review , patient safety, risk ... plans and strategies in collaboration with clinicians and leadership. Conducts record review for performance improvement, peer review , patient safety, risk… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and ... required care. Collects and evaluates medical, psychosocial, and financial data for review by transplant team in the patient selection committee. + Ensures patient… 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 ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days… more