Current jobs related to Registered Nurse Clinical Reviewer - Houston - The Woman's Hospital of Texas

  • Clinical Reviewer

    3 weeks ago

    Houston, Texas, United States Apex Health Solutions Full time

    Job SummaryWe are seeking a highly skilled Clinical Reviewer to join our team at Apex Health Solutions. As a Clinical Reviewer, you will play a critical role in ensuring the quality and integrity of our utilization management processes.Key ResponsibilitiesPre-Authorization and Review: Conduct thorough reviews of medical necessity and appropriateness of...

  • Clinical Review Nurse

    1 day ago

    Houston, Texas, United States Elite Services Full time

    Job Title: Utilization Review NurseAt Elite Services, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the medical necessity of treatment for Workers' Compensation requests.Job Purpose:The primary purpose of this role is to review Workers Compensation requests...

  • RN Clinical Reviewer

    3 weeks ago

    Houston, United States Texas Orthopedic Hospital Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Texas Orthopedic Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Clinical Reviewer to join our healthcare family.BenefitsTexas Orthopedic Hospital, offers a total rewards...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    2 months ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • Clinical Research Nurse

    2 days ago

    Houston, Texas, United States WEP Clinical Full time

    Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our dynamic team as a Mobile Research Nurse. As a key member of our clinical research team, you will play a crucial role in ensuring the successful execution of research studies.Key ResponsibilitiesAdminister investigational medications/products as needed, and perform patient...

  • RN Clinical Reviewer

    11 hours ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Clinical Reviewer opening with HCA Houston Healthcare Northwest today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Houston Healthcare Northwest, offers a total rewards package that...

  • RN Clinical Reviewer

    2 weeks ago

    Houston, United States Texas Orthopedic Hospital Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Texas Orthopedic Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Clinical Reviewer to join our healthcare family.BenefitsTexas Orthopedic Hospital, offers a total rewards...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    21 hours ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Clinical Reviewer opening with HCA Houston Healthcare Northwest today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Houston Healthcare Northwest, offers a total rewards package that...

  • Clinical Review Specialist

    4 days ago

    Houston, Texas, United States Elite Services Full time

    Job Title: Utilization Review NurseAt Elite Services, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Key Responsibilities:Perform thorough evaluations of medical...

  • Care Review Clinician, Inpatient Review

    1 day ago

    Houston, Texas, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. This role involves working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key ResponsibilitiesAssess inpatient...

  • Care Review Clinician, Inpatient Review

    1 day ago

    Houston, Texas, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. This role is responsible for assessing inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with state and federal regulations and guidelines.Key ResponsibilitiesAnalyze...

  • Care Review Clinician, Inpatient Review

    3 days ago

    Houston, Texas, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Care Review Clinician, Inpatient Review. In this role, you will work collaboratively with multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...

  • RN Clinical Reviewer

    3 weeks ago

    Houston, Texas, United States HCA Houston Healthcare Northwest Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a RN Clinical Reviewer at HCA Houston Healthcare Northwest. As a RN Clinical Reviewer, you will play a critical role in ensuring the highest quality of patient care and safety within our hospital.Key ResponsibilitiesPromote a culture of excellence and patient safety by...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, TX, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, TX, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family.BenefitsHCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    4 weeks ago

    Houston, TX, United States HCA Houston Healthcare Northwest Full time

    Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Northwest our nurses set us apart from any other healthcare provider. We are seeking a RN Clinical Reviewer to join our healthcare family. Benefits HCA Houston Healthcare Northwest, offers a...

  • RN Clinical Reviewer

    2 weeks ago

    Houston, TX, United States Texas Orthopedic Hospital Full time

    Description IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Texas Orthopedic Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Clinical Reviewer to join our healthcare family.BenefitsTexas Orthopedic Hospital, offers a total rewards...

Registered Nurse Clinical Reviewer

3 months ago

Houston, United States The Woman's Hospital of Texas Full time

Description

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Registered Nurse Clinical Reviewer opening with The Woman's Hospital of Texas today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

The Woman's Hospital of Texas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a(an) Registered Nurse Clinical Reviewer for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply

Job Summary and Qualifications

The Registered Nurse Clinical Reviewer position encompasses multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is proactive in working with departments on timely corrective actions. Educates staff and physicians on Core Measures and documentation requirements. Develops reports. Will assist in assigned functions and/or reviews, as delegated by the Administrative Quality/PS/RM Director.

What qualifications you will need:

  • Registered Nurse, prefer at least one year of experience
  • Registered Nurse Diploma
  • Previous experience working with Meditech desired.
  • CPPS certification preferred.
  • A sense of the hospital-wide functions. Computer experience, including Microsoft Office.
  • Experience working with data & reports and surveys helpful.

At The Woman’s Hospital of Texas, our care philosophy is Woman First. It’s in our name, and it’s in our founding mission. Our420+ bed hospital was founded in 1976 by 29 physicians who recognized a need in Houston for a facility focused solely on women in all stages of life. We were the first women's hospital in Houston and first facility in Texas dedicated to the health of women and newborns. Today, we are the state’s premier facility dedicated to the health of women and children offering expertise and an outstanding level of care in breast health, imaging, gynecology, minimally invasive surgery, infertility, obstetrics, high-risk pregnancy, and pediatrics. We deliver 800+ babies a month, more than any other hospital in Texas, and care for more multiple births than any other hospital in the region. Our Level IV NICU provides the highest level of care for premature babies and we have the area's only March of Dimes NICU Family Support program. As a member of HCA Houston Healthcare, the most comprehensive healthcare provider in the region, we are a part of a network that delivers stronger, smarter and more accessible care to women than any other medical system across the Houston area.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Registered Nurse Emergency Room opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.