- Elara Caring (Fort Worth, TX)
- …Identifies and reports potential payment/coverage problems. Supervises and coordinates utilization review activities. Participates in strategic development of ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. Ensures accuracy of all public...as required by state or federal guidance Licensed physician, registered nurse or holds an undergraduate degree… more
- Health Care Service Corporation (Richardson, TX)
- …appropriate for treatment within the Autism Spectrum Diagnoses (ASD). **JOB REQUIREMENTS:** ** Registered Nurse ( RN ) or Masters-level Behavioral Health ... decision making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** ** Utilization review experience.** **3 years clinical experience in… more
- Molina Healthcare (Dallas, TX)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical...our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The… more
- Molina Healthcare (Dallas, TX)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Fresenius Medical Center (Irving, TX)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want...will be for the first few weeks *_ Our RN Case Managers raise the bar by providing clinical… more
- HCA Healthcare (Dallas, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want...weekends as needed. Hour are typically 8:00am-4:30pm *_ Our RN Case Managers raise the bar by providing clinical… more
- HCA Healthcare (Frisco, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as an OR Registered Nurse PRN you want with your...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dallas, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as an OR Registered Nurse PRN you want with your...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dallas, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as an OR Registered Nurse PRN you want with your...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Allen, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as an OR Registered Nurse PRN you want with your...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dallas, TX)
- …& Spine have the opportunity to make a real impact. As an Operating Room Registered Nurse you can be a part of change. **Benefits** Medical City Orthopedic ... positive outcomes for your patients as an Operating Room Registered Nurse . We want your knowledge and...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (North Richland Hills, TX)
- …apart from any other healthcare provider. We are seeking an Operating Room Registered Nurse to join our healthcare family. **Benefits** Calloway Creek Surgery, ... for patient care. Apply today for our Operating Room Registered Nurse opportunity. **Job Summary and Qualifications**...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Frisco, TX)
- …step in your career path, we encourage you to apply for our Operating Room Registered Nurse opening. We review all applications. Qualified candidates will be ... you have the career opportunities as an Operating Room Registered Nurse you want in your current...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Allen, TX)
- …step in your career path, we encourage you to apply for our Operating Room Registered Nurse opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a Operating Room Registered Nurse you want in your current...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Plano, TX)
- …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
- Texas Health Resources (Dallas, TX)
- …years' clinical experience required. * One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed ... available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective … more
- Elara Caring (Irving, TX)
- …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...required by state or federal guidance + Licensed physician, registered nurse or holds an undergraduate degree… more
- Baylor Scott & White Health (Dallas, TX)
- …, or related field. 3. 1+ years of experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed Master Social Worker (LMSW) or above 5. ... management, social services, coordination of patient care, patient access, utilization management, and discharge planning. Directs the management and...Worker -- LMSW - Lic Masters Social Worker -- RN - Registered Nurse . As… more
- Elevance Health (Grand Prairie, TX)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid...review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
