• LVN Utilization Review

    Kelsey-Seybold Clinic (Pearland, TX)
    …communication with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** ** Utilization Management** **Location: ... **Responsibilities** The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested… more
    Kelsey-Seybold Clinic (05/24/24)
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  • Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Pearland, TX)
    **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
    Kelsey-Seybold Clinic (05/24/24)
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  • Medical Oncology Medical Director…

    Elevance Health (Houston, TX)
    …medical decisions to members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review , of Medical Oncology ... regimens and supportive care. + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
    Elevance Health (05/02/24)
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  • Charge Nurse LTAC TMC $10,000 Sign on…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the Competent to ... to fulfilling the duties and responsibilities of a clinical nurse , the Charge Nurse position is a...with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees… more
    Houston Methodist (05/28/24)
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  • Nurse Reviewer I

    Elevance Health (Houston, TX)
    ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday from 9:30 am - 6:00 pm **CST or PST** The ** Nurse Reviewer I** is ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
    Elevance Health (05/29/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Pasadena, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We promptly review all applications. Highly ... and integrity. We care like family! Jump-start your career as a(an) Registered Nurse Case Manager PRN today with HCA Houston Healthcare Southeast. **Benefits** HCA… more
    HCA Healthcare (05/25/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Webster, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current employer?...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (05/01/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Tomball, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We promptly review all applications. Highly ... Do you have the career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (03/30/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Manager with HCA Houston Healthcare Southeast you can be a ... our organization. We are looking for an enthusiastic Registered Nurse Case Manager to help us reach our goals....patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (05/10/24)
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  • RN Nurse Manager

    Erickson Living (Houston, TX)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... indicators/benchmarking such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization , Re-hospitalization, Anti-psychotic utilization , ADL splits/documentation, etc.… more
    Erickson Living (04/13/24)
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  • Occupational Health Registered Nurse

    Houston Methodist (Cypress, TX)
    At Houston Methodist, the Occupational Health Nurse position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical ... works with physicians on employee health assessments. The Occupational Health Nurse position collaborates with Infection Prevention and Control in the investigation,… more
    Houston Methodist (05/16/24)
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  • Outpatient Registered Nurse - RN

    Fresenius Medical Center (Houston, TX)
    …5435 Aldine Mail Rte. Houston, Texas 77039 **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the ... modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse , Supervisor or Physician as needed. + Assesses, collaborates, and documents… more
    Fresenius Medical Center (05/05/24)
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  • Operating Room Nurse - PRN - Surgery Center

    HCA Healthcare (Willis, TX)
    …Operating Room Nurse - PRN - Surgery Center opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the ... have the PRN career opportunities as an Operating Room Nurse - PRN - Surgery Center you want with...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (05/07/24)
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  • Operating Room Nurse - Surgery Center

    HCA Healthcare (Webster, TX)
    …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse - Surgery Center position and spend more time at the bedside ... Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (03/14/24)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …fantastic opportunity. **HCA Houston Northwest** is currently looking for a **Registered Nurse (RN) Case Manager - Case Management** HCA Houston Healthcare Northwest ... role:** + Actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization,… more
    HCA Healthcare (04/17/24)
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  • Director Case Management & Social Services (RN)

    Houston Methodist (Baytown, 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 Svcs… more
    Houston Methodist (03/21/24)
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  • Case Manager-RN (PRN /Days)

    Houston Methodist (Houston, 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 ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
    Houston Methodist (05/16/24)
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  • Healthcare Operations Facility Administrator

    Fresenius Medical Center (Humble, TX)
    …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient ... closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director, and the… more
    Fresenius Medical Center (05/05/24)
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  • Case Manager - Case Management & Social Work…

    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
    Houston Methodist (05/25/24)
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  • Professional Practice Leader RN Critical Care

    Houston Methodist (Nassau Bay, TX)
    …evaluate an intervention to positively impact the quality of patient care. Drives nurse sensitive indicator performance by using data to identify gaps and plan ... cost savings. + Contributes to unit plans for resource utilization and capital needs, incorporating financial evaluation within project...+ Master of Science in Nursing preferred + Clinical Nurse Leader or Clinical Nurse Specialist preferred… more
    Houston Methodist (05/31/24)
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