- Novo Nordisk Inc. (Houston, TX)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid, and Managed… more
- HCA Healthcare (Houston, TX)
- …The Woman's Hospital of Texas have the opportunity to make a real impact. As a Case Manager Registered Nurse you can be a part of change. **Benefits** The ... and improve positive outcomes for your patients as a Case Manager RN Registered Nurse . We want...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved… more
- HCA Healthcare (Houston, TX)
- …personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Pasadena, TX)
- …personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of your ... certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue to...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… 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 ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Actalent (Houston, TX)
- …Experience in utilization management, concurrent review , prior authorization, utilization review , case management, and discharge planning. + ... Job Title: Review Nurse Job Description The ...Proficiency with InterQual. + Active Compact RN License. + Utilization Management/Concurrent Review experience. + ICU/ER experience.… more
- Molina Healthcare (Houston, TX)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social… more
- Houston Methodist (Houston, TX)
- …Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... local and federal programs + Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- Houston Methodist (Nassau Bay, TX)
- …Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... local and federal programs + Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- Houston Methodist (Houston, TX)
- …Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource ... law, clinical skill, etc. + Expert knowledge of discharge planning, utilization management, case management, performance improvement and managed care… 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 ... local and federal programs + Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of ... and reporting of occupational injuries and illnesses, return-to-work status, case management, immunization administration and compliance, safe patient handling… more
- ChenMed (Houston, TX)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to… more
- HCA Healthcare (Houston, TX)
- …Surgical Center have the opportunity to make a real impact. As an Operating Room Nurse - Surgery Center you can be a part of change. **Benefits** Houston Metro ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Houston Methodist (Houston, TX)
- …Enterprise Health and Epic.** At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care ... and reporting of occupational injuries and illnesses, return-to-work status, case management, immunization administration and compliance, safe patient handling… more
- Catholic Health Initiatives (Houston, TX)
- …collect data, review results and compile data for presentation of patient's case at Medical Review Board. + Primary responsibility for the day-to-day course ... the referral and evaluation process for potential transplant candidates. Review medical information, schedule testing including physician and coordinator… more
- Houston Methodist (Houston, TX)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days… more
