abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... perspective on workplace flexibility. Job Description 100% Remote Position - Must be license in the state of Texas RN, LCSW...
Centene. JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Nurse for a hybrid schedule (2-3x in the... Dallas, TX office) to coordinate all components of the utilization review process, ensuring timely review of treatment...
Ethos Risk Services. JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Nurse for a hybrid schedule (2-3x in the... Dallas, TX office) to coordinate all components of the utilization review process, ensuring timely review of treatment...
Ethos Risk ServicesRegulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues..., with Utilization Management (UM) organization determinations, both internal and external from vendors interfacing with health plans...
UnitedHealth GroupRegulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues..., with Utilization Management (UM) organization determinations, both internal and external from vendors interfacing with health plans...
UnitedHealth GroupRegulatory Adherence Clinical Program Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... includes review of the work of others that perform service delivery of delegated patient programs and providing feedback...
UnitedHealth GroupPalm Medical Centers is a rapid growing company currently seeking an experienced RN Clinical Coordinator... with leadership experience to join our team. The RN Clinical Coordinator performs a variety of tasks and coordinates the plans...
Palm Medical Centers, and utilization review. Accountable for ensuring compliance with contractual as well as applicable federal, state, and regulatory... licensure as a RN in the State of Texas required. Project management or Six Sigma certification preferred. Required Tests...
Parkland Healthmeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth Groupmeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth GroupCase Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in... participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify...
UnitedHealth Group. You will coordinate with management/administrative team to ensure staff productivity and appropriate resource utilization to achieve high... in Nursing (BSN) – preferred Licenses and Certifications Current State of Texas Registered Nurse (RN) license...
St. David's HealthCare