- Molina Healthcare (Houston, TX)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Adecco US, Inc. (Houston, TX)
- …* Current, unrestricted RN License in Texas . 2 to 3 years of clinical nurse /case management experience . 2 to 3 years of coding experience . Strong ... Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person...to effectively confirm coverage for recommended treatments and manage appeals or disputes. . **Patient Guidance:** Educate patients and… more
- Houston Methodist (Houston, TX)
- …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure ... and/or Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -...**AND** + Magnet - ANCC Recognized Certification -- If RN within 1 year + LCSW- License Clinical… more