- Methodist Hospital Northeast (San Antonio, TX)
- Description Introduction Do you have the career opportunities as a(an) Nurse Manager of Critical Care ICU you want with your current employer? We have an exciting ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...of colleagues. Do you want to work as a(an) Nurse Manager of Critical Care ICU where your passion… more
- Methodist Hospital Metropolitan (New Braunfels, TX)
- Description Introduction Do you have the career opportunities as a(an) Nurse Manager of Critical Care ICU you want with your current employer? We have an exciting ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...of colleagues. Do you want to work as a(an) Nurse Manager of Critical Care ICU where your passion… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... Proactively refers cases to physician adviser for P2P, medical necessity review , and denail avoidance. Demonstrates and maintains current knowledge of regulatory… more
- Methodist Hospital for Surgery (Addison, TX)
- …operations of the Operating Room and Sterile Processing. Requirements Current Registered Nurse licensure in Texas Minimum of 3 years OR management or supervisory ... and submits data and reports that measure/monitor quality, efficiency, productivity, and utilization of the OR and Sterile Processing Departments Assures that staff… more
- CVS Health (Austin, TX)
- …care experience is in behavioral health) **Preferred Qualifications** + 1+ years' experience Utilization Review experience + 1+ years' experience Managed Care + ... Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- CVS Health (Austin, TX)
- …care experience is in behavioral health) **Preferred Qualifications** + 1+ years' experience Utilization Review experience + 1+ years' experience Managed Care + ... with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is...required, BSN preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving,… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear... Nurse (RN).with a minimum of three (3) years full -time wage earning experience as a professional nurse ... observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all… more
- Centene Corporation (Austin, TX)
- …substance abuse addiction disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral ... fully licensed for TX** **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members… more
- Centene Corporation (Austin, TX)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... HOLIDAY HOURS MUST HAVE INDIANA LICENSURE **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors… more
