- DHR Health (Edinburg, TX)
- …through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: The Utilization Review Supervisor coordinates, supervises and is ... well as projects and initiatives that can help the department's financial goals. The Utilization Review Supervisor develops programs for their staff in… more
- DHR Health (Edinburg, TX)
- …: Graduate from an accredited school for nursing required. A valid license as a Registered Nurse with the State of Texas is required. Certification in Case ... of Medicare and Medicaid guidelines and regulations pertaining to utilization review and discharge planning. Responsibilities: POSITION RESPONSIBILITES:… more
- Texas Health and Human Services Commission (Austin, TX)
- …critical thinking skills. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse ( RN ) in the State of Texas (or ... Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor /Specialist to ensure 24-hour continuity of care. May assume duties of the … more
- Texas A&M University System (College Station, TX)
- Job Title Registered Nurse II - Prior Authorization & Referral Agency Texas A&M University Health Science Center Department University Health Services Proposed ... and team-based health care delivery. What we want The Registered Nurse II-Prior Authorization and Referral, under...three professional references (to include at least one previous supervisor ) are strongly recommended. You may upload all three… more
- CVS Health (Austin, TX)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- CVS Health (Austin, TX)
- …however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating ... - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...referral to clinical resources for assistance. - Consults with supervisor and others in overcoming barriers in meeting goals… more
- Children's Home Healthcare (Van Alstyne, TX)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... Children's Home Healthcare is now hiring for a Hybrid RN Clinical Supervisor /Case Manager! Children's HH is...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
- Select Medical (Fort Worth, TX)
- …Nursing Officer (CNO)/ Nurse Manager (if position applies within hospital), the Nurse Supervisor will guide assigned nursing personnel, serve as a resource ... State RN License required. + Two or more years of experience as a Registered Nurse ; one or more years experience in a managerial or supervisory capacity is… more
- HCA Healthcare (Corpus Christi, TX)
- …to complete task. **What qualifications you will need:** + Basic Cardiac Life Support + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree Corpus ... want you to apply! **Job Summary and Qualifications** The Nurse Case Manager is responsible for the coordination and...Case Manager is responsible for the coordination and efficient utilization of health care resources for the provision of… more
- Texas Health Resources (Dallas, TX)
- …supervisor ) Required Supervisory or Managerial Experience Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required And ... Center of Excellence in Robotic Surgery by the Surgical Review Corporation (SRC), a leading organization dedicated to advancing...Degree Nursing Required **Experience** 3 Years Experience as a registered nurse with previous experience as a… more
- Molina Healthcare (San Antonio, TX)
- …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate… more
- Texas Health Resources (Plano, TX)
- … supervisor ) Required NICU Experience is Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required **Skills** Knowledge ... this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize...Degree Nursing Required **Experience** 3 Years Experience as a registered nurse with previous experience as a… more
- Texas Health Resources (Bedford, TX)
- …charge nurse , committee chair, preceptor, supervisor ) required **Licenses and Certifications** RN - Registered Nurse required upon hire BCLS - Basic ... timely manner. Utilizes various resources for development. **Education** 3 years experience as a registered nurse with previous experience as a charge nurse … more
- Texas Health Resources (Dallas, TX)
- …or Managerial Experience Strongly Preferred ECMO Experience a Plus **Licenses and Certifications** RN - Registered Nurse Upon Hire Required And BCLS ... Degree Nursing Required **Experience** 3 Years Experience as a registered nurse with previous experience as a... nurse or similar leadership role (ie, charge nurse , committee chair, preceptor, supervisor ) Required Supervisory… more
- HCA Healthcare (Georgetown, TX)
- …Directors employed prior to 1.1.2023: Current license and certification meet requirements. + Registered Nurse or Licensed Technologist with one of the following ... each shift as closely as possible. + You will review and approve employee payroll. Assure that payroll sheets...perform all employee evaluations on time. Collaborate with the Supervisor and other staff in obtaining accurate information regarding… more
- AdventHealth (Mansfield, TX)
- …of a Bachelor's degree program in Nursing. . Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact state. ... and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors… more
