- CVS Health (Austin, TX)
- …vary occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical ... all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live… more
- CVS Health (Austin, TX)
- …operation and work schedules will include holidays and evening hours._ Medicare Precertification Utilization Management Nurse Consultant position: + ... applications (Outlook, Teams, Excel) **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- Intermountain Health (Austin, TX)
- …specialty care settings or previous appeals experience. + Demonstrated experience in utilization review and/or case management , hospital insurance billing, third ... **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/Appeals… more
- Texas Health Resources (Arlington, TX)
- …providers and other hospital personnel in understanding payor plans, resolving utilization management issues and assigning appropriate patient classification as ... Registered Nurse (RN) - Case Manager - PRN Work...1. Maintains a current knowledge of regulatory requirements for utilization management including but not limited to… more
- Houston Methodist (Houston, TX)
- …for employee engagement. **SERVICE ESSENTIAL FUNCTIONS** + Collaborates with anesthesia, OR charge nurse , and OR management to maximize efficiency and flow of ... At Houston Methodist, the Perioperative Nurse Coordinator position is an experienced Operating Room...timeframes, and respond accordingly. Provides input regarding OR block utilization and management . + Reviews the OR… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Practitioner (NP) First Assist position is responsible for functioning as an advanced practice practitioner maintaining and promoting ... Assist position will assist the physician in the global management of patient care in all peri-operative settings; the...inpatient and outpatient settings and perform according to the nurse practice act of the State of Texas and… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Professional Practice Leader position serves as a consultant and subject matter clinician for a service line/specialty area, functioning at ... level of Benner's model, serving as a subject matter consultant and educator responsible for staff development, care outcomes,...and efficiency. The NPM is a clinically active registered nurse who also mentors staff and liaises with internal… more
- Houston Methodist (The Woodlands, TX)
- …+ Demonstrates leadership as a clinical resource, interprofessional consultant , and patient/family advocate. Identifies staff development opportunities for ... knowledge, and skills. + Contributes to department plans for resource utilization and capital needs to meet department financial target. **GROWTH/INNOVATION… more
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