- Actalent (San Antonio, TX)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role ... We are seeking an experienced Registered Nurse to join our team within a leading Managed...independently in a fast‑paced environment. Key Responsibilities + Conduct clinical reviews of prior authorization requests for… more
- Evolent (Austin, TX)
- …the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as...I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools… more
- HCA Healthcare (El Paso, TX)
- …career path, we encourage you to apply for our Registered Nurse Clinical Coord Emergency opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a Registered Nurse Clinical Coord Emergency you want in...All current employees who had PALS/PLS and were hired prior to 4/1/2022, must obtain ENPC prior … more
- HCA Healthcare (Live Oak, TX)
- …next step in your career path, we encourage you to apply for our ICU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... Do you have the career opportunities as an ICU Clinical Nurse Coordinator you want in your...encompassed by job duties; and must check with supervisors ( prior to job performance) if there is a question… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …position and will report to the Director of Business Development. Behavioral Health Clinical Nurse Liaison: + Build and maintain strong relationships with ... an MOT Nurse in a behavioral hospital setting preferred. + Prior experience in marketing/business development and admissions preferred. + Strong knowledge of… more
- Elevance Health (Grand Prairie, TX)
- ** Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... medical policy guidelines strongly preferred + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred +… more
- Evolent (Austin, TX)
- …work with the Director of UM to ensure client satisfaction. + Perform all peer clinical review activities while located in a state or territory of the United ... the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and… more
- Justice, Bureau of Prisons/Federal Prison System (TX)
- …Level 3 Facility, or Federal Correctional Complexe (FCC). Serves as the Utilization Review Nurse and assists in quality improvement activities through data ... Utilization Review Committee. Applies predetermined evidence-based criteria sets and clinical practice guidelines when reviewing patient care in an effort to… more
- MD Anderson Cancer Center (Houston, TX)
- …CSR, filling out radiology and nuclear medicine forms, placing patients on clinical pathway, writing/calling in prescriptions) Retrieve and review labs, glucose ... Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. * : Graduate education and related Texas Board of Nursing… more
- MD Anderson Cancer Center (Houston, TX)
- …related paperwork (radiology and nuclear medicine forms, placing patients on clinical pathway, writing/calling in prescriptions) Retrieve and review labs, ... personnel in related activities. * Participate and collaborate on clinical research protocols. Interview patients and review ...Nurse from the Texas State Board of Nursing prior to 1/1/2003. * : Graduate education and related… more