- Baylor Scott & White Health (Round Rock, TX)
- Baylor Scott & White Health is seeking a Registered Nurse (RN) Cardiac Cath Lab for a nursing job in Round Rock, Texas.Job Description & RequirementsSpecialty: ... and start dates beginning on January 6, 2025.JOB SUMMARYThe Cath Lab Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice… more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …to: enhance proper administration, and educate on appropriate adverse identification and management . This is a field-based role that works closely with sales, ... Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each… more
- Sourcing Square US (Irving, TX)
- JOB SUMMARYThe Operating Room (OR) Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care ... nursing delicate indicators. Helps evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives.… more
- University Medical Center of El Paso (El Paso, TX)
- …Skills: Excellent leadership, recommendation making and delegation skills. Knowledge of care management , resource and utilization management . Skilled in care ... Job Requirements: Work Experience: Three years of experience as a Registered Nurse required. Previous case management experience or related experience preferred.… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Austin, TX)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules may include ... Qualifications** - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience...and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work… more
- Conviva (Austin, TX)
- …+ Prior clinical experience, managed care experience, Home Health, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Lincoln Financial Group (Austin, TX)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- ERP International (Corpus Christi, TX)
- …executive staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established ... **Overview** ERP International is seeking a **Registered Nurse (RN)** ** Utilization Manager** for a... Utilization Management (UM) standards of care. Assist... Utilization Management (UM) standards of care. Assist in coordinating a… more
- UTMB Health (Galveston, TX)
- …the use of medical services, procedures, and facilities. Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise, and criteria ... trends of inappropriate resource utilization to Director/Assistant Director of Utilization Management . + Maintains a documentation system of all review… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Specialist (LVN)** **Location: Pearland Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to determine… more
- Ascension Health (Austin, TX)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... / Registration: + Registered Nurse obtained prior to hire date or job transfer...years of transplant experience, preferred + 2-3 years of utilization management and managed care experience, preferred… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- ChenMed (Houston, TX)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse is responsible for achieving positive patient outcomes, managing quality of care across the… more
- Houston Methodist (Houston, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act. + Demonstrates proficient time management skills. + Demonstrates ... At Houston Methodist, the Charge Nurse position is a licensed professional Registered ...clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition… more
- The Cigna Group (Austin, TX)
- **Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job Responsibilities and Required ... case management needs and assigning to a client based CM for further management when appropriate.** **Must be skilled in utilization of Cigna resources when… more
- Houston Methodist (Houston, TX)
- …others regarding care of defined populations in resource utilization and time management . + Provides clinical guidance as a Nurse Practitioner or Physician ... At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible for...the preparation of annual evaluations with supporting physicians and management personnel to ensure all paperwork is in compliance… more
- Houston Methodist (Cypress, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management skills + Demonstrates ... At Houston Methodist, the Charge Nurse II Department Premium position is a licensed...clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition… more
- Houston Methodist (Sugar Land, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management skills + Demonstrates ... At Houston Methodist, the Charge Nurse II Operating Room (OR) Department Premium position...Savers) as well as creates an environment for the management and delivery of safe patient care. In addition… more
