- Humana (Austin, TX)
- …your skills to make an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- Molina Healthcare (TX)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... **_For this position we are seeking a REGISTERED NURSE with previous experience in...Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS… more
- Molina Healthcare (TX)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
- Molina Healthcare (TX)
- **_For this position we are seeking REGISTERED NURSE ( RN ) or Licensed Clinical Social Worker (LCSW) previous experience in Hospital Acute Care, Concurrent ... Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
- Molina Healthcare (TX)
- **_For this position we are seeking a REGISTERED NURSE with previous experience in Hospital Acute Care, Concurrent Review/_** **_Utilization Review / Utilization ... Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS PREFERABLE to support multiple states._** **_Home office with… more
- Houston Methodist (Baytown, TX)
- …abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days **OR** ... quality improvement processes related to admission, concurrent and retrospective UM and medical claims programs. Collaborates with medical and...+ RN -Temp - Registered Nurse - Temporary State Licensure within… more
- Centene Corporation (Austin, TX)
- …anywhere else in central/ mountain time zone USA with experience (2) with an active compact LPN or RN licensure and willingness to obtain other licensure as ... following: post-acute care knowledge (SNF, LTACH, Rehab), utilization management ( UM ) experience, InterQual knowledge, or discharge planning knowledge. **Position… more