- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Supervisor Utilization Review RN is accountable for daily oversight of the Utilization Review (UR) function, and provides ... OF THE ROLE** + Functions as a working Supervisor for Utilization Review Department, through the monitoring of staff workload, creating assignments, reviewing… more
- Molina Healthcare (Dallas, TX)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Dallas, TX)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Methodist Health System (Dallas, TX)
- …in Nursing, Health Care Administration, Public Health, Business Administration, preferred. * Registered nurse graduated from an accredited school of nursing with ... of anticipated impact of external regulations and cost-containment efforts related to Utilization Review , Case Management. * Attains all agreed to goals… more
- Fresenius Medical Center (Fort Worth, 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
- CenterWell (Plano, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- HCA Healthcare (Plano, TX)
- …City Plano we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Denton, TX)
- …City Denton we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Arlington, TX)
- …and personal growth, we encourage you to apply for our Coordinator Service Line Registered Nurse opening. We promptly review all applications. Highly ... **Description** **Medical City Arlington** **Coordinator Service Line Registered Nurse ** **Robotics/Colorectal/GYN or Plastics/Breast/ENT/Urology** **Full Time,… 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 ... Do you have the career opportunities as a 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 (Arlington, TX)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room Registered Nurse opening. We promptly review all applications. Highly ... you have the career opportunities as an Operating Room Registered Nurse you want with your current...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)
- …you, we encourage you to apply for our Operating Room Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates ... their positions. Join our Team as an Operating Room Registered Nurse and access programs to assist...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dallas, TX)
- …us apart from any other healthcare provider. We are seeking an Operating Room Registered Nurse to join our healthcare family. **Benefits** Park Central Surgical ... 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 (Dallas, 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 (Fort Worth, 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
- Molina Healthcare (Dallas, TX)
- …abuse through the identification of aberrant coding and/or billing patterns through utilization review . * Incorporate leadership and communication skills to work ... care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED… more
- Houston Methodist (Dallas, TX)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- AdventHealth (Mansfield, TX)
- …Baccalaureate, or Masters Degree program in Nursing. . Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact ... career with AdventHealth, named in 2018 by Becker's Hospital Review as one of the "150 Top Places to...growing business community. **The role you'll contribute:** The Staff RN coordinates the care and service of selected patient… more
- AdventHealth (Mansfield, TX)
- …need to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED:** . Bachelors Degree Nursing . Registered Nurse ( RN ) License Three years of experience required, ... career with AdventHealth, named in 2018 by Becker's Hospital Review as one of the "150 Top Places to...a growing business community. **The role you'll contribute:** The RN Navigator serves as the primary point of contact… more