Jobs for utilization review nurse at Texas

Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and...

Overview: Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa Springs we are dedicated to Changing People’s Lives®.      Mesa Springs is looking for a licensed Counselor to join our Utilization...

Overview: Carrollton Springs is a 72-bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Carrollton Springs we are dedicated to Changing People’s Lives®     Members of our team Enjoy: Working with a highly engaged staff Healthy...

USD $ USD $58.13 /Hr.We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to anQuality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.IEHP is not only committed to healing and inspiring the human spirit of our...

Overview: We put the unity in "opportunity."   Opportunity Snapshot: Compensation: $110-130K/year Location: Houston, TX Assignment Duration: Direct Hire Work Schedule: M-F / 40 hours  Benefits: Comprehensive insurance, 401K, Holidays and PTO Responsibilities: Monitor condition, ensure optimal & efficient performance, guide investment priority, lead...

Overview:   Texas Oncology is looking for a Clinical Pharmacy Review Pharmacist to join our team  This position will support the entire state of Texas.   Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma.  Our founders pioneered...

SummaryThe Organizational Location of this position is location in Nursing Service (Patient Care Services) within VANTHCS in the inpatient Spinal Cord Injury / Disorder unit. The Nursing Assistant performs assigned duties in a manner that promotes quality health care, positive and outstanding customer service, and the maintenance of an environment committed...

Serve as the Assistant Clinical Nurse Officer In Charge within the Medical Surgical Nursing Service. Perform a variety of supervisory, administrative, and direct patient care duties in support of the Clinical Nurse Officer In Charge. Provide nursing care to patients on one or more units (surgical, medical or combined units). Provide formal and informal...

SummaryORGANIZATIONAL LOCATION: Department of Health & Health Human Services (HHS), Indian Health Service (IHS), Southwest Region, Phoenix Area -Nursing Services- Community Health Department, Colorado River Service Unit, Position is located in Peach Springs, Arizona. Position is supervised by the Supervisory Nurse (Chief Nurse Executive). Duties The...

Serve as a clinical and telephone triage nurse in the Women's health Clinc. Receive telephone healthcare queries for evaluations and recommend subsequent care recommendations. Utilize the nursing process to assess physical and mental status of the patient and communicate pertinent information to the appropriate healthcare provider. Utilize post-wide and...

RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patient/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide...

Overview: At Trustpoint Rehabilitation Hospital of Lubbock, our hospital has been ranked in the Top 10% nationally for rehabilitative care for 7 years and has earned The Joint Commission’s Brain Injury, Stroke and Spinal Cord Rehabilitation Certification.   At our 93-bed hospital, we provide specialized inpatient and outpatient rehabilitative services to...

SummaryGeneral Description:The Nursing Assistant (NA) functions as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventative, acute, subacute, chronic, maintenance, and hospice care.The Organizational Location of the Position is:This position is location in Nursing Service (Patient Care...

Overview: Schedule: 3pm - 11pm CST​   PURPOSE STATEMENT:  ​Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.  Responsibilities: ESSENTIAL FUNCTIONS: Facilitate...

Overview: Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found...

Overview: At Trustpoint Rehabilitation Hospital of Lubbock, we are passionate about patient care Nationally Recognized: Our hospital has been ranked in the Top 10% nationally for rehabilitative care for 7 years and has earned The Joint Commission’s Brain Injury, Stroke and Spinal Cord Rehabilitation Certification.   At our 93-bed hospital, we...

SummaryAbout the Position: This position is located within the Department of Nursing, Brooke Army Medical Center, Fort Sam Houston, Texas.This is a Direct Hire Solicitation DutiesPerform a range of treatment procedures for patients; utilize auxiliary equipment to treat patients using hot and cold packs; change sterile dressings. Take and record blood...

REGISTERED NURSE - HOSPICEJob LocationsUS-MN-HOPKINSIDLine of BusinessHospice of the MidwestPosition TypeFull-TimeOur CompanyHospice of the MidwestOverviewThe registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the...

Overview: AmTrust Financial Services, a fast-growing commercial insurance company, has a need for a Manager, Managed Care Filings in one of our offices in FL, TX, NY, CA, or IL.   PRIMARY PURPOSE: To support the Director of Utilization Review and Head of Managed Care and Clinical in the development and implementation of the internal Utilization Review...

Choose To Make A Difference: Come care with us at West Coast University As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare.  At West Coast University you will have the...