- Erickson Living (Dallas, TX)
- …of MDS processes, including but not limited to MDS, RAPs, Care Planning, and Utilization Review . + Experience documenting in an Electronic Medical Record (EMR) ... skilled nursing staff on MDS processes and documentation requirements What you will need + RN licensed to practice in the state. + Minimum of 2 years of experience… more
- MD Anderson Cancer Center (Houston, TX)
- …or treatment team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences ... operations. Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers,… more
- Prime Therapeutics (Austin, TX)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. +… more
- Evolent (Austin, TX)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- Select Medical (Frisco, TX)
- …+ Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
- Houston Methodist (Houston, TX)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... + **Other required experience: Minimum of at least two years of RN experience.** **EDUCATION REQUIRED** + **Associate's Degree-Major: Nursing** + **Graduate of a… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...required experience: Minimum of at least two years of RN experience.** **EDUCATION REQUIRED** + **Associate's Degree-Major: Nursing** +… more
- Medical Center Hospital (Odessa, TX)
- …A. Education: Graduate of an accredited school of nursing, current License as a Registered Nurse in the State of Texas. BSN preferred. Certification in CEN/CCRN; ... of the Trauma patient is required. One year experience in performance improvement, utilization review and teaching is preferred. C. Job Knowledge Comprehensive… more
- Houston Methodist (Sugar Land, 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