- UT Health San Antonio (San Antonio, TX)
- …skills and clinical judgment to work autonomously as defined by the Nurse Practice Act. Demonstrates proficient time management skills. Demonstrates highly ... Job Description The Bone Marrow Transplant Charge Nurse fosters an environment for managing and delivering...active listening and teaching, and assists with staff stress management as needed. Improves departmental scores for turnover/retention on… more
- Parkland Health and Hospital System (Dallas, TX)
- …cost center: 62300 Must have Certified Emergency Nurse (CEN) or Critical Care Registered Nurse (CCRN) or Certified Med-Surg Nurse Certification or obtain ... It's our passion. Primary Purpose Responsible for assisting in the daily management of unit activities including staff supervision and development, planning, budget,… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas license; relevant certification (CCM, ... ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital billing, managed… more
- Methodist Health System (Mansfield, TX)
- …degree in Social Work, Master's degree in Social Work, Registered Nurse with BSN preferred. Hospital case management experience preferred *LMSW/LBSW, or ... planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient… more
- UnitedHealth Group (Brownsville, TX)
- …(as indicated) according to CMS criteria When H&C Transitions is delegated for utilization management , review referral requests that cannot be approved for ... current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines,... clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or… more
- Great Bay Staffing Group (El Paso, TX)
- …comprehensive discharge planning processes, ensuring seamless transitions of care Drive utilization management initiatives to optimize healthcare resources and ... communication between patients, families, and healthcare providers Required Qualifications: Current Registered Nurse (RN) license in good standing Bachelor's… more
- Tenet Health (San Antonio, TX)
- …Certifications: REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse , Accredited Case Management (ACM) #LI-NS1 ... national standards for care management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition … more
- UnitedHealth Group (San Antonio, TX)
- …monitoring and reporting compliance issues for the external delegated functions of Utilization Management (UM) organization determinations, Case Management ... may be substituted in lieu of a bachelor's degree) Registered Nurse (RN) with current license in...in managed care with at least two years of Utilization Management experience Knowledge and experience with… more
- Healogics (Livingston, TX)
- …Performs other duties as required. Required Education, Experience and Credentials: Current Registered Nurse (RN) license to be maintained throughout the duration ... ancillary revenues generated by the program. Manages costs through appropriate utilization and management of labor and supply across the wound care continuum.… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental knowledge-based care to assigned clients while ... and guidelines. Responsibilities Major Duties (To include but not limited to): The Registered Nurse Utilization Management Registered Nurse … more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and ... qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management , Nurse Case Manager/Caseworker,… more
- Houston Methodist (The Woodlands, TX)
- …the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --...state, local, and federal programs + Progressive knowledge of utilization management , case management , performance… more
- CVS Health (Austin, TX)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must have active ... current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- CVS Health (Austin, TX)
- … management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... with occasional holiday rotation. **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience… 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...least one of the following areas: Prior authorizations or utilization management , c are coordination or… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the ... skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --...clinical judgment to work autonomously as defined by the Nurse Practice Act. + Demonstrates proficient time management… more
- HCA Healthcare (Houston, TX)
- …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Coord ED Flow-Throughput to join our healthcare family. **Benefits** ... - and empowers their passion for patient care. Apply today for our Registered Nurse Coord ED Flow-Throughput opportunity. **Job Summary and Qualifications** We… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse (RN)-Virtual is responsible for providing professional nursing care with collaboration from the bedside nurse ... One year in specialty preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …and providing quality improvement and outcomes utilization consultation. The Inpatient Float Pool Registered Nurse is a skilled nurse who is able to work ... Summary The Inpatient Float Pool Registered Nurse (RN) is responsible for...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- Summary In the Registered Nurse role you will serve male and female Veterans with age ranges from the adult, age 18, to the elderly adult, age 65 and over. ... 90 days to stay current and eligible. As the Registered Nurse , you will use professional standards...research activities to improve care. Identify and assess resource utilization and safety issues, taking appropriate action. VA offers… more
