NURSE UTILIZATION AND CLINICAL jobs in SAN ANTONIO TX, United Kingdom

Description Summary: The Utilization Management Nurse III is responsible for determining the clinical... appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...

Description Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness... approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the health...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... summary clinical and ancillary information to Clinical Pharmacist and Medical Director for review and decision making...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... summary clinical and ancillary information to Clinical Pharmacist and Medical Director for review and decision making...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... perspective on workplace flexibility. Registered Nurse Strongly Preferred Must be licensed and reside in the state of TX...

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... Medical Management and Utilization Management, and Clinical Education Departments Performs all other related duties...

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... Medical Management and Utilization Management, and Clinical Education Departments Performs all other related duties...

and 4-6 years of related experience Bachelor's degree in Nursing preferred License/Certification: RN - Registered Nurse... - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure...

for a RN Clinical Supervisor/Case Manager! Children’s HH is the premier leader in Pediatric Home Health Care in Texas... care we provide to families. Come be a part of this growing professional team! We are seeking an experienced Clinical...

. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the... meaning behind Caring. Connecting. Growing together. Under general supervision of the Director of Clinical Pharmacy, the...

-directed and not prescribed. The Utilization Management Nurse works under the direct supervision of an RN or MD... of newly hired utilization nurses Identify and refer all potential quality issues to the Clinical Quality Management...

for members identified as having complex case management needs (assessment areas include clinical, behavioral, social, environment... clinical guidelines Maintains current knowledge of health plan benefits and provider network including inclusions...

-directed and not prescribed. The Utilization Management Nurse works under the direct supervision of an RN or MD... of newly hired utilization nurses Identify and refer all potential quality issues to the Clinical Quality Management...