- 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 ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Austin, TX)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Houston, TX)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- HealthTrust Workforce Solutions (El Paso, TX)
- …Our partnering facility is seeking a qualified Registered Nurse ( RN )- Vascular Access- Full Time clinician . HealthTrust Offers: + Customizable Pay ... **Entrust Your Career to HealthTrust!** ** Registered Nurse ( RN ) -...responsible for the anticipation, planning, coordination, and provision of care for the patient while performing and monitoring the… more
- UTMB Health (Galveston, TX)
- HCSS Sexual Assault Nurse Examiner ( Registered Nurse ) **Galveston, Texas, United States** 1 additional location United States Nursing & Care Management ... the department + Performs other related duties as required. Required Education / Experience: + Registered Nurse for two or more years. + Registered Nurse… more
- UTMB Health (Beaumont, TX)
- Nurse Clinician III ( RN ) CASUAL -...discharge, and transfer procedures. + Using the nursing plan of care in daily assignments, able to review and, ... Stiles Unit **Beaumont, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2405476 The mission of Correctional Managed Care is to… more
- Centene Corporation (Austin, TX)
- …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... required. Experience working with providers and healthcare teams to review care services related to Applied Behavior...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
- HCA Healthcare (Houston, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our RN Nursing Informatics PRN opening. We review all applications. Qualified candidates ... Do you have the PRN career opportunities as a(an) RN Nursing Informatics PRN you want with your current...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- UTMB Health (Galveston, TX)
- Operating Room Nurse Clinician II - Galveston **Galveston, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2506877 ... **_REQUIRED EDUCATION / EXPERIENCE:_** RN with six months of clinical RN ...performance appraisal tool. Must possess and maintain a current Registered Nurse license or valid permit to… more
- Highmark Health (Austin, TX)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more