- Adecco US, Inc. (Houston, TX)
- Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person / on site. Please read below ... 8am to 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse :** . ** Review Medical Records:** Thoroughly evaluate… more
- Adecco US, Inc. (Houston, TX)
- Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Management Nurse in Houston, TX! This role is hybrid with a mix of work from home and ... 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Management Nurse :** . Responsible for the...and institutes a care management plan . Provides concurrent review on members who are hospitalized at all levels… more
- Molina Healthcare (Houston, TX)
- …performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... For this position we are seeking a (RN) Registered Nurse who be licensed in the state they reside....are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- Molina Healthcare (Houston, TX)
- …in good standing Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... **Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical … more
- Elevance Health (Houston, TX)
- …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... ** Utilization Management Representative I** **Location:** This role enables...responsible for coordinating cases for precertification and prior authorization review . **How will you make an impact:** + Managing… more
- ChenMed (Houston, TX)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, discharge planning experience ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- HCA Healthcare (Tomball, TX)
- …we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of your career. ... affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue to learn! **Job Summary and Qualifications**… more
- HCA Healthcare (Houston, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... integrity. We care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare Northwest. **Benefits** HCA Houston… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Transplant Recovery Nurse position leads organ procurement services required for transplantation and manages the peri-operative phase of ... as a mentor and resources for team members. The Transplant Recovery Nurse position reviews cadaveric donor organ offers, assesses clinical diagnostics, and evaluates… more
- Molina Healthcare (Houston, TX)
- …Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... plan, and outline priority initiatives based on hospital quality measures. The Nurse Scientist position ensures the highest quality of scholarly and scientific… more
- ChenMed (Houston, TX)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...in-depth documentation through written progress notes and summaries. The Nurse Practitioner must demonstrate the ability to function both… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... plan, and outline priority initiatives based on hospital quality measures. The Nurse Scientist position ensures the highest quality of scholarly and scientific… more
- Molina Healthcare (Houston, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- HCA Healthcare (Houston, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates ... you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN you want with your current...all practices in the PACU. + Proficient in the utilization of specialized skills to provide care to patients… more
- HCA Healthcare (Houston, TX)
- …Surgical Center have the opportunity to make a real impact. As an Operating Room Nurse - Surgery Center you can be a part of change. **Benefits** Houston Metro ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Houston, TX)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room Nurse PRN - Surgery Center opening. We review all applications. Qualified ... have the PRN career opportunities as an Operating Room Nurse PRN - Surgery Center you want with your...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Houston, TX)
- …to join an organization that invests in you as an Operating Room Registered Nurse ? At North Cypress Surgery Center, you come first. HCA Healthcare has committed up ... We are looking for a dedicated Operating Room Registered Nurse like you to be a part of our...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- MD Anderson Cancer Center (Houston, TX)
- …or treatment team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences ... operations. Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers,… more