- 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
- 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
- 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
- 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 (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 (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 (Webster, TX)
- …Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager PRN? At HCA Houston Healthcare Clear Lake, you come first. HCA ... a difference. We are looking for a dedicated Registered Nurse Case Manager PRN like you to be a...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Conroe, TX)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Manager with HCA Houston Healthcare Conroe you can be a part ... 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
- 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
- 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
- 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
- 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 (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 (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
- Kelsey-Seybold Clinic (Houston, TX)
- …At least 2 years in area of specialization, 2 years of Case Management/ Utilization Review experience **Other** Required: Managed Care knowledge Preferred: N/A ... and various internal departments **Job Title: Case Manager Concurrent Review ** **Location: Pearland Administrative Office** **Department: Utilization … more
- Houston Methodist (Nassau Bay, TX)
- …percentage, and other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims Review , ... appropriate care to patients and while promoting the most cost-effective utilization of the hospital's resources. This position maintains accountability for level… more
- 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 (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 (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... engagement, ie, peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- 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