• Utilization Management Nurse

    CVS Health (Austin, TX)
    …CST + Must reside in Central time zone + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting ... **Preferred Qualifications** + Experience working with the Medicare population + Utilization review experience + Managed Care experience **Education** +… more
    CVS Health (11/02/24)
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  • Care Review Clinician, PA ( RN

    Molina Healthcare (Houston, TX)
    **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review ... for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of… more
    Molina Healthcare (11/03/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (El Paso, TX)
    …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN and access programs to assist with every ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
    HCA Healthcare (10/12/24)
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  • Registered Nurse RN PACU PRN

    HCA Healthcare (Houston, TX)
    …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN...all practices in the PACU. + Proficient in the utilization of specialized skills to provide care to patients… more
    HCA Healthcare (11/01/24)
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  • Registered Nurse RN PACU…

    HCA Healthcare (Pasadena, TX)
    …career path, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN...all practices in the PACU. + Proficient in the utilization of specialized skills to provide care to patients… more
    HCA Healthcare (08/07/24)
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  • RN Clinical Manager, Home Health

    CenterWell (Waco, TX)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (10/30/24)
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  • Supervisor Registered Nurse Case…

    HCA Healthcare (Houston, TX)
    …appropriate. **What qualifications you will need:** + Bachelor's degree Nursing preferred + Registered Nurse - Currently licensed as a registered ... needs. + Accountable for reviewing, monitoring and reporting hospital utilization of resources through concurrent review according...Support + Registered Social Worker (RSW), or Registered Nurse , or Certified Care Manager (CMC)… more
    HCA Healthcare (08/28/24)
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  • Clinical Manager, RN

    Erickson Living (Dallas, TX)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... (skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current… more
    Erickson Living (10/25/24)
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  • Director of Case Management & Social Services

    Houston Methodist (The Woodlands, TX)
    …HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (10/08/24)
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  • Clinical Supervisor RN

    Children's Home Healthcare (El Paso, TX)
    …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... * RN LICENSE REQUIRED, DO NOT APPLY IF YOU...on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
    Children's Home Healthcare (10/04/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Houston, TX)
    …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
    Fresenius Medical Center (11/02/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Edinburg, 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
    Fresenius Medical Center (10/26/24)
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  • Registered Nurse - RN

    MTC (Livingston, TX)
    …in Livingston, TX** we have a unique and rewarding challenge for a dedicated RN . Help us provide essential care where your expertise will directly impact the ... use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more
    MTC (10/23/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …opening and continue to learn! **Job Summary and Qualifications** Position Summary The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (09/21/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Weatherford, TX)
    …City Weatherford we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (11/02/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St....supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
    HCA Healthcare (10/16/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Corpus Christi, TX)
    …this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We promptly review all applications. Highly ... diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager PRN opening with...preferred + Current Texas licensure with State Board of Nurse Examiners as an RN + 1+… more
    HCA Healthcare (10/20/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    …and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with...preferred + Current Texas licensure with State Board of Nurse Examiners as an RN + 1+… more
    HCA Healthcare (10/08/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Brownsville, TX)
    …Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager? At Valley Regional Medical Center, you come first. ... make a difference. We are looking for a dedicated Registered Nurse Case Manager like you to...preferred + Current Texas licensure with State Board of Nurse Examiners as an RN + 1+… more
    HCA Healthcare (10/29/24)
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  • Registered Nurse Case Manager…

    HCA Healthcare (Conroe, TX)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Manager with HCA Houston Healthcare Conroe you ... in our organization. We are looking for an enthusiastic Registered Nurse Case Manager to help us...preferred + Current Texas licensure with State Board of Nurse Examiners as an RN + 1+… more
    HCA Healthcare (10/24/24)
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