- Highland Springs by Erickson Senior Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson...outcomes. Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,… more
- Christus Health (Irving, TX)
- …in CHRISTUS RN Care Manager I position. * Case management and Utilization Review experience preferred. Licenses, Registrations, or Certifications * RN ... full role description and make your application. Summary: The RN Care Manager (CM) II works with physicians and...patient need, manage length of stay and promote efficient utilization of resources to include the facilitation of patient… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Utilization Review Registered Nurse ( RN ) provides a clinical review of cases using medical necessity criteria to determine ... or type of service. Alerts and collaborates with appropriate Utilization Review , Physician leadership and/or Provider Team...- 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a… 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
- HCA Healthcare (Dallas, TX)
- …1 weekend shift. Shift length may vary and could be from 6-8 hours *_** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… 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
- 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
- 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
- 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 (Fort Worth, TX)
- …City Alliance we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager PRN and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and...during weekdays for the first few weeks *_ Our RN Case Managers raise the bar by providing clinical… 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 (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 (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 (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 (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
