- Pyramid Consulting, Inc. (Addison, TX)
- Immediate need for a talented Clinical Review Nurse - Prior Authorization . This is a 07+months contract opportunity with long-term potential and is ... (RN) to ensure they are equipped with all information and materials. Clinical Review Nurse - Prior Authorization, utilization review nurse , … more
- UnitedHealth Group (San Antonio, TX)
- …and efficiency in accordance with CMS coverage guidelines. The Medical Claims Review Nurse determines medical appropriateness of inpatient and outpatient ... and benefit determination. Generally work is self-directed and not prescribed. The Medical Claims Review Nurse works under the direction of the Director. If you… more
- HCA Healthcare (Webster, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Endoscopy opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a Registered Nurse Endoscopy you want in your current role? We...different kinds of procedure. You will assess the patient prior to surgery and establish that the patient understands… more
- DOCS Health (Killeen, TX)
- …and BLS (Basic Life Support) certification. Experience: Minimum of 2 years of recent clinical experience as a Registered Nurse . State Licensure: Must hold an ... (USAFR) Responsibilities: Support Physical Health Assessments of military personnel. Review health history, service member medical records, and medical… more
- Methodist Healthcare (San Antonio, TX)
- …or baccalaureate degree registered nursing program. Minimum of six (6) months of clinical experience as a licensed Registered Nurse Current Registered Nurse ... in their positions. Join our Team as a(an) Registered Nurse RN Operating Room PRN and access programs to...What you will do in this role: Evaluate patients prior to surgery Provide patient and family education surrounding… more
- Premier Health Consultants (Abilene, TX)
- Summary The Nurse Practitioner / Physician Assistant provides high quality, patient-focused health care services to all patients in collaboration with the other ... gender, on a continuing basis by performing the duties outlined below. The Nurse Practitioner will practice/perform the medical services as delegated or directed by… more
- Vighter (San Antonio, TX)
- …100% Job Shift Any Job Category Health Care Description Flight Registered Nurse (RN) Summary: Vighter is recruiting healthcare professionals (HCPs) to conduct basic ... experience in direct patient care and licensed/certified as a Registered Nurse (RN). Qualifying experience includes detention or correctional healthcare, residential… more
- The University of Texas Rio Grande Valley (Edinburg, TX)
- Posting Details Position Information Posting Number SRGV8309 Working Title NURSE PRACTITIONER / PHYSICIAN ASSISTANT (UT Health RGV Surgical Specialty - Edinburg) ... MSK ISU FTE 1.0 FLSA Exempt Scope of Job Nurse Practitioner: Works under moderate supervision of a physician...Assistant: To provide primary health care services in a clinical setting under the supervision and direction of a… more
- Graham Hospital District (Graham, TX)
- ORGANIZATIONAL DESCRIPTION A Registered Nurse with basic knowledge of perioperative patient care. Coordinates and initiates patient care within the operating room. ... as needed. INTERACTION Primarily Interacts with: administration, physicians, employees, clinical and non- clinical departments, patients, visitors, and… more
- Curative HR LLC (Austin, TX)
- … expertise, established medical policies, and evidence-based guidelines. Conduct thorough prior authorization reviews, ensuring alignment with clinical criteria, ... processes and improve member outcomes. Contribute to the development, review , and revision of medical policies, clinical ...of 2-3 years of experience in utilization management, medical review , or prior authorizations within an insurance… more
- Baptist Hospitals of Southeast Texas (Beaumont, TX)
- …facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction; as well as, managing the cost of ... or barriers to discharge to the Case Management Director or for peer review as appropriate. Collaborates and communicates with multidisciplinary team in all phases… more
- PACS (Brownsville, TX)
- …assigned personnel fail to report to work. Report absentee call ins to the Nurse Supervisor. Review and evaluate your department's work force and make ... that involve potential exposure to blood/body fluids. Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in… more
- PACS (Houston, TX)
- …assigned personnel fail to report to work. Report absentee call-ins to the Nurse Supervisor. Review and evaluate your department's workforce and make ... accuracy. Notify the attending physician of automatic stop orders prior to the last dosage. Dispose of drugs and...a calm, personal, and positive environment throughout the unit. Review complaints/grievances and report them to the Nurse… more
- International SOS Government Medical Services (Dallas, TX)
- …prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 ... sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our… more
- International SOS Government Medical Services (Fort Worth, TX)
- …prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 ... sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our… more
- MEITHEAL PHARMACEUTICALS INC (Dallas, TX)
- …with anti-infectives. Antibiotic account management experience is strongly preferred, or clinical (eg, nurse , pharmacist). Travel Travel requirements: The ... phase, 22 additional products planned for launch in 2025, and 24 products under review by the FDA. Meitheal's mission is to provide easy access to fairly priced… more
- Discovery Senior Living (Frisco, TX)
- …documents relevant to the resident record in chronological order. Performs a quality assurance review of the documents prior to filing to ensure items are dated, ... lab orders, assisting with the preparation of required document prior to in house physician visits, assisting with resident...Director of Health & Wellness and Executive Director for review in the event that a Support Nurse… more
- Texas Health Resources (Southlake, TX)
- …required Or Other Graduate of an accredited surgery technology program, Vocational Nurse Program or graduate/completion of a military training program in surgical ... is required Other Graduate of an accredited surgery technology program, Vocational Nurse Program or graduate/completion of a military training program in surgical… more
- Molina Healthcare (Houston, TX)
- …**Preferred Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Texas A&M University System (College Station, TX)
- …of insurance guidelines and prior authorization processes. + Ability to review and interpret clinical documentation to determine what is required for ... Job Title Registered Nurse II - Prior Authorization &...are denied. + Collaborate with providers to gather necessary clinical documentation and address denials or escalations. + Tracks… more
