- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- Elevance Health (Houston, TX)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full -time, with the exception of required in-person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out… 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
- 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
- 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 ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- US Tech Solutions (Houston, TX)
- …years of LPN/LVN clinical experience. + **Prior Authorization experience is required.** + ** Utilization Review Experience is also required.** + 1+ years of ... involve computer system data entry, data management, and reporting. + Review criteria-based prior authorizations following policy and procedure. + Provide on-call… 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 ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...We are looking for a dedicated Operating Room Registered Nurse like you to be a part of our… 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
- HCA Healthcare (Houston, TX)
- …Registered Nurse Quality Coordinator opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. ... in their positions. Join our Team as a(an) Registered Nurse Quality Coordinator and access programs to assist with...Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more… more
- Houston Methodist (The Woodlands, TX)
- …Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Cypress, TX)
- **This is a full -time position covering weekends** At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more
- Elevance Health (Houston, TX)
- …members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens ... and supportive care. + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... patient satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... research in practice: evidence-based practice, the conduct of research, research utilization , and dissemination of research results. + Collaborates and develops… more
- Houston Methodist (Houston, TX)
- …manner. Takes messages via telephone/email to forward to the provider/registered nurse . + Contributes towards improvement of department scores for employee ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the provider team,… more
- Houston Methodist (Spring, TX)
- …level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality support of patient ... visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow prior to… more
- Olympus Corporation of the Americas (Houston, TX)
- …self-study programs. + Obtain instruction and understanding of customer repair cost utilization analyses reports and learn how to review service contract ... establish and maintain customer rapport with key decision makers (ie Bio-med, Nurse Manager, Materials Manager, Physicians, etc.) and gain experience to support… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... associated actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and… more