- HCA Healthcare (San Antonio, TX)
- …BSN Prefer: Three years recent Clinical Experience and experience in case management / utilization Mandatory: Texas RN License Methodist Hospital opened ... us apart from any other healthcare provider. We are seeking a Registered Nurse Heart Transplant Coordinator II to join our healthcare family. Benefits Methodist… more
- Tenet Health (San Antonio, TX)
- …Possession of current Texas State license for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM) #LI-RR1 Tenet ... national standards for care management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition … more
- DHR Health (Edinburg, TX)
- … Management (assessing, planning, implementing, coordinating, monitoring and evaluating), utilization management , utilization review, or healthcare ... activities as needed. POSITION EDUCATION/ QUALIFICATIONS: Bachelor's Degree Nursing preferred. Registered Nurse in the State of Texas required Computer… 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 ... Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques.… more
- Corvel (Fort Worth, TX)
- …worker's compensation claims preferred EDUCATION & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of ... The CERIS Professional Review Nurse provides analysis of medical services to determine...to additional Professional Review job duties as assigned by management or determined by legislative changes and/or market changes… 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 ... POSITION SUMMARY: Under the general supervision of the Case Management Coordinator, the RN Case Manager acts...JOB KNOWLEDGE/EXPERIENCE : Knowledge in the areas of case management and utilization management , experience… more
- HCA Healthcare (Frisco, TX)
- …sites of care in 21 states and the United Kingdom. We are looking for a Nurse Manager of Case Management for our Medical City Frisco team where excellence ... to be an influencer in healthcare? Apply for our Nurse Manager of Case Management role today!...improvement projects. Works cooperatively with physicians to achieve the utilization of the case management plan. Collaborates… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... Direct management and development of the case management team ( RN and licensed staff). Create...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge… more
- UTMB Health (Galveston, TX)
- REQUIRED EDUCATION & EXPERIENCE: RN with bachelor's in nursing, four years of clinical RN experience and approved specialty certification. Must possess and ... maintain a current RN license or valid temporary permit to practice in...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more
- Memorial Hermann Health System (Houston, TX)
- …appropriate to the patient/member being served. Job Description Minimum Qualifications Education: Registered Nurse ( RN ) or Social Worker (LMSW) ... Job Summary Job Profile Summary Responsible for providing care management services and support to an assigned population with...Licenses/Certifications: Registered Nurse ( RN ) or Licensed Master Social Worker… more
- Next Level Career Partners LLC (Houston, TX)
- …capital equipment requests - You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... About the job RN - Director of Surgical Services Job Summary...acute care hospital setting. - Currently licensed as a registered professional nurse in the state in… more
- Vensure Employer Services (Dallas, TX)
- …experience required. Experience in acute care or ICU case management highly preferred. Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) in ... effective and efficient patient care coordination, ensuring appropriate resource utilization , and guiding patients and families through the healthcare continuum.… more
- Tenet Health (San Antonio, TX)
- …REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: Specialty or Administration ... hour basis. These responsibilities include: budget responsibility; efficient/effective resource utilization ; recruitment and effective/efficient management of assigned… more
- UTMB Health (Angleton, TX)
- …focus at director level or above. Required: *Must possess and maintain a current RN license or valid temporary permit to practice in Texas. *Certification in nursing ... the quality and efficiency of patient care services provided, the management of allocated resources, and effective planning, evaluation, and administrative… 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
- CVS Health (Austin, TX)
- …active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing… more
- CVS Health (Austin, TX)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... with occasional holiday rotation. **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience… more
- Actalent (San Antonio, TX)
- …to assist each other and complete cases. Qualifications: + 2+ years of utilization management , concurrent review, prior authorization, utilization review, ... case management , and discharge planning is must + Active RN Compact License in the state of Texas is Must If you are Interested , Kindly give a call : ### Pay… more
- Houston Methodist (The Woodlands, TX)
- …includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...state, local, and federal programs + Progressive knowledge of utilization management , case management , performance… more
