- Christus Health (Cedar Park, TX)
- …role description and make your application. Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS ... and evaluates Home Health 485 form (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements. Facilitates Case Conferences with Home… more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Actalent (Austin, TX)
- Clinical Review Nurse -...medical necessity, and discharge planning in alignment with clinical policies and guidelines. This role is fully remote ... Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform...determine member health status, appropriate level of care, and medical necessity + Review acuity, resource consumption,… more
- Actalent (Austin, TX)
- Clinical Review Nurse -...concurrent reviews to assess member health, care setting, and medical necessity + Review acuity, resource use, ... - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote...this role, you will perform concurrent reviews to evaluate medical necessity, determine appropriate levels of care, and contribute… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- HCA Healthcare (Round Rock, TX)
- … Nurse Coordinator Surgery opportunity. **Job Summary and Qualifications** As a Clinical Nurse Coordinator, you will serve as the primary decision maker ... line, empathetic for patients. At St. David's Round Rock Medical Center our nurses set us apart from any...from any other healthcare provider. We are seeking a Clinical Registered Nurse Coordinator Surgery to join… more
- HCA Healthcare (Austin, TX)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator NICU and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator NICU opening and continue...Nurse Coordinator NICU opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Austin, TX)
- …you to apply for our Clinical Nurse Coordinator ICU Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates ... excellent care patients deserve? At St. David's South Austin Medical Center we support our colleagues in their positions....colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator ICU Registered Nurse… more
- HCA Healthcare (Austin, TX)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator NICU and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator NICU opening and continue...Nurse Coordinator NICU opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Austin, TX)
- …St. David's South Austin Medical Center! **Job Summary and Qualifications** As a Clinical Nurse Coordinator, you will serve as the primary decision maker for ... opportunity for you to join St. David's South Austin Medical Center which is a part of the nation's...we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review… more
- HCA Healthcare (Austin, TX)
- …St. David's South Austin Medical Center! **Job Summary and Qualifications** As a Clinical Nurse Coordinator, you will serve as the primary decision maker for ... **Description** **Introduction** St. David's South Austin Medical Center is committed to investing in the...delivering patient-centered care?** Submit your application for Float Pool Clinical Nurse Coordinator position and spend more… more
- HCA Healthcare (Austin, TX)
- …at St. David's Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered ... an exciting opportunity for you to join St. David's Medical Center which is a part of the nation's...encourage you to apply for our Clinical Nurse Coordinator Labor and Delivery opening. We review… more
- HCA Healthcare (Austin, TX)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator IMC and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator IMC opening and continue...Nurse Coordinator IMC opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Georgetown, TX)
- …Hospital we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Med Surg and access programs to assist with every ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Med Surg opening and… more
- HCA Healthcare (Austin, TX)
- …North Austin Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered ... opportunity for you to join St. David's North Austin Medical Center which is a part of the nation's...encourage you to apply for our Clinical Nurse Coordinator ICU opening. We review all… more
- HCA Healthcare (Austin, TX)
- …South Austin Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered ... opportunity for you to join St. David's South Austin Medical Center which is a part of the nation's...path, we encourage you to apply for our STICU Clinical Nurse Coordinator opening. We review… more
- HCA Healthcare (Georgetown, TX)
- …in your career path, we encourage you to apply for our Clinical Nurse Coordinator Med Surg Tele opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator Med Surg Tele you want in your current role? We invest in… more
- The Cigna Group (Austin, TX)
- …outcomes, client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and ... including medical cost driver analysis and action, complex case review , referral and engagement, account renewal consultation and recommendations to positively… more
- HCA Healthcare (Round Rock, TX)
- …career path, we encourage you to apply for our Registered Nurse Medical Surgical Oncology opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) Registered Nurse Medical Surgical Oncology you want in...and Qualifications** This position, under the supervision of the Clinical Nurse Supervisor, appropriately coordinates and supervises… more
- HCA Healthcare (Austin, TX)
- …we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Seasonal Medical Surgical Ortho and access programs to assist with every ... certifications and job skills. Apply today for our Registered Nurse Seasonal Medical Surgical Ortho opening and...Medical Surgical Ortho opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
