- 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... patient satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… 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
- Veterans Affairs, Veterans Health Administration (Katy, TX)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... rules and clinic processes. Promotes Veteran registration of and utilization of My HealtheVet (MHV) by managing messages and...and reports encounters in VistA to the Supervisor or Nurse Manager. Applies knowledge of various software functions to… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... patients with third-party insurance. Promotes Veteran registration for and utilization of My HealtheVet (MHV); Schedules Veteran appointments with community… more