- TalentBurst, Inc (Irving, TX)
- …criteria in order to determine appropriate level of care * Resource/ Utilization Management appropriateness: Assess assigned patient population for medical ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health & Life… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Operations Medical Director** ** Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On Bonus** ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Baylor Scott & White Health (Dallas, TX)
- …to fit their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels of care. ... issues or trends impacting specific entities to the appropriate management is expected. + Part of your work will...is required. + You must hold a valid Registered Nurse License. As a health care system committed to… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …North Texas Health Care System for consideration when vacancies occur for Nurse Practitioners. **Applications will expire after 90 days. Employees using this ... announcement must update their applications every 90 days. The Nurse Practitioner has advanced education and clinical experience who demonstrates leadership,… more
- HCA Healthcare (Plano, TX)
- …us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits** Medical City Plano, offers ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- Texas Health Resources (Plano, TX)
- ** Nurse Manager II - ICU** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize...Code of Ethics. Complies with hospital policies and with Nurse Practice Act. Active in Reach Out THR and… more
- Texas Health Resources (Frisco, TX)
- ** Nurse Manager I-Neonatal Intensive Care Unit and Mother Baby-Texas Health Frisco** _Are you looking for a rewarding career with family-friendly hours and top-notch ... this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize...Code of Ethics. Complies with hospital policies and with Nurse Practice Act. Active in Reach Out THR and… more
- HCA Healthcare (Dallas, TX)
- …Dallas we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager and access programs to assist with every stage of your career. ... affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue to learn! **Job Summary and Qualifications**… more
- HCA Healthcare (Dallas, TX)
- …apart from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **Benefits** Medical City Orthopedic & Spine, offers ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dallas, TX)
- …**Introduction** Do you have the PRN career opportunities as an OR Registered Nurse PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as an OR Registered Nurse PRN where your passion for creating positive patient...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more
- HCA Healthcare (Mckinney, TX)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Director Case Management with Medical City McKinney you can be a part of an organization ... organization. We are looking for an enthusiastic Director Case Management to help us reach our goals. Unlock your...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of… more
- HCA Healthcare (Dallas, TX)
- …to Patient in Bed by facility by floor to identify opportunities 8. Assesses utilization of Bed Management technology for optimal use + Performs staffing ... that invests in you as a Director of Bed Management Process Improvement? At North Texas Division Office, you...for the implementation of process improvement ideas. + Educates nurse supervisors, unit secretaries, unit directors, and other staff… more
- Molina Healthcare (Dallas, TX)
- …3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active, ... Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or...unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Symetria Recovery (Dallas, TX)
- …nursing team management and dispensary operations. + Works with the Nurse Leads and Program Directors to create monthly nursing schedule to ensure required ... Recovery clinic as well as clinic nursing team and dispensary oversight and management . DON will work with the clinic staff, Practitioners, Medical Directors, and… more
- Molina Healthcare (Dallas, TX)
- …Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's degree in...years of experience in case management , disease management or utilization management in… more
- Surgery Care Affiliates (Irving, TX)
- …software platforms such as MS SQL Server, Tableau, and other BI tools. Utilization of Project Management methodologies to improve organizational performance and ... as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,...YOU. Responsibilities Position Description : The Sr. Clinical Informatics Nurse Analyst is a member of the SCA Health… more
- Molina Healthcare (Dallas, TX)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to the business.… more
- Sharecare, Inc. (Dallas, TX)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- Baylor Scott & White Health (Dallas, TX)
- Join Baylor University Medical Center (aka BUMC) as a Registered Nurse and be part of something better! **SHIFT: PT/Night, 2, 12 Shift a week.** Baylor University ... online continuing education for professional development. + A strong system Nurse Practice Council that uses autonomy, authority, and accountability in collaboration… more
