- Baylor Scott & White Health (Dallas, TX)
- …experience. **Job Summary** You, as a Registered Nurse in the Denial Resource Center at Baylor Scott & White Health, manage denials and appeals. Your ... enhancement and earnestly participating in their implementation. + By closely examining denial trends, you will categorize them based on impacts like diagnosis, type… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or… more
- HCA Healthcare (Pasadena, TX)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have...pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)… more
- Catholic Health Initiatives (Houston, TX)
- …be required to perform other duties as assigned. **Qualifications** **Required:** -Associate's Degree - Registered Nurse ( RN ) -Two (2) years of experience ... issues 3. Reviews all patient documentation in response to letters of denial for reimbursement. Assess individual situations and makes appropriate referrals to… more
- HCA Healthcare (Plano, TX)
- …projects, charge reviews and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related ... in you as a Revenue Integrity Clinical Charge Analyst RN ? At Parallon, you come first. HCA Healthcare has...pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)… more
- 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 ... financial targets, with a focus on appropriate utilization and denial prevention. Utilizes resources with cost effectiveness...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse ( RN ) responsible for promoting the achievement of optimal clinical and ... resource outcomes, accountable for a designated assignment that is...case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\ RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... throughout the transplant process and provides education and appropriate resources regarding living donor options, Organ Procurement and Transplantation...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- …EXPERIENCE** + Two years Transplant Coordinator experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... recipient transplantation. This position serves as a mentor and resources for team members. The Transplant Recovery Nurse...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Catholic Health Initiatives (Houston, TX)
- …daily operations of care coordination, including effective staff supervision, and resource allocation to align with organizational goals. 2. Oversee staff ... daily operations to ensure effective utilization reviews, strict adherence to denial management processes, and compliance with established policies and procedures.… more