- Houston Methodist (Houston, 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
- Actalent (Houston, TX)
- Job Title: Review Nurse Job Description The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical necessity for ... various procedures and processes to complete authorizations successfully. The nurse will collaborate with a team of nurses and...Skills + Experience in utilization management, concurrent review , prior authorization, utilization review ,… 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
- MD Anderson Cancer Center (Houston, TX)
- *Clinical Nurse - GI Radiation Oncology* *Location:* The University of Texas MD Anderson Cancer Center - Houston, TX *Shift:* Monday - Friday, 8:00 AM - 5:00 PM ... team in the Department of Thoracic Radiation Oncology. The Clinical Nurse manages patient outcomes by providing, coordinating, and supporting the clinical… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._** **"** **Hours: Monday - Friday 9:00am to 5:30pm with 2 late...hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management… more
- Molina Healthcare (Houston, TX)
- …and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management ... For this position we are seeking a (RN) Registered Nurse who be licensed in the state they reside....are looking for a RN Supervisor to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- Houston Methodist (Houston, TX)
- …PRN, non-benefit eligible position that will work UP TO 40 hours per week Monday - Friday (Late August through late November)** + **Vaccination clinic hours will be ... Enterprise Health and Epic.** At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care… more
- System One (Houston, TX)
- …Pay rate up to $60/hr. Salary will be commensurate with experience. + Work schedule: Monday - Friday: 7:00am - 4:00pm or 8:00am - 5:00pm (Subject to Change) + Weekly ... Build out effective Category Strategies by performing analysis on internal utilization , external benchmarking, identify optimized cost models, and develop an… more