- Christus Health (Irving, TX)
- …verbal and written communication. Critical and analytical thinking skills. Demonstrated clinical competency. Working knowledge of discharge planning, utilization ... effectively to meet patient need, manage length of stay and promote efficient utilization of resources to include the facilitation of patient care across the… more
- Christus Health (San Antonio, TX)
- …by integrating the functions of case management, resource management, clinical documentation management, and discharge planning (Conditions of Participation COP ... Impacts Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical necessity,… more
- Cognizant (Austin, TX)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach ... possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, ...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Austin, TX)
- …option. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN) required. Licensed ... late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS -...management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- CVS Health (Austin, TX)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Austin, TX)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure ... all with heart, each and every day. **Position Summary** Clinical Precertification: Commercial **Must be willing and able to...Friday, 10am to 7pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules… more
- UTMB Health (Webster, TX)
- …is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse (RN).with a minimum of three (3) years full-time wage ... transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all...+ Participates in research activities/projects + Provides assistance regarding clinical issues to non-nursing utilization review staff… more
- Fresenius Medical Center (San Antonio, TX)
- …level.Market SummaryDevelops operating budgets and standards of performance and ensures clinical department operates within budget and in accordance with performance ... standards. Assists with implementation of policies and procedures for the clinical staff.Impact* Management of professionals and support staff. Responsible for… more
- Fresenius Medical Center (Paris, TX)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Athens, TX)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Medical Center Hospital (Odessa, TX)
- …Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse . B. ... A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed... Nurse OR a current Texas Licensed Vocational Nurse . B. Training and Experience: Three years clinical… more
- Houston Methodist (Houston, TX)
- …At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN) who, as an experienced clinician, functions at the Competent ... addition to fulfilling the duties and responsibilities of a clinical nurse , the Charge Nurse ...skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse (RN)-Virtual is responsible for providing professional nursing care with collaboration from the bedside nurse ... at the Proficient level according to Benner's model of clinical practice. The Virtual ICU RN position provides professional...preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Molina Healthcare (San Antonio, TX)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- HCA Healthcare (El Paso, TX)
- …at Las Palmas Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits** Las ... practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Case Manager. We want your knowledge and expertise! **Job Summary… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …during the open period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Staff Registered Nurse (RN) position is responsible for functioning as an advanced clinician at the Proficient level according to ... Benner's model of clinical practice. The Sr Staff RN position provides professional...preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
