Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at HCA Houston...
Position Summary The RN Care Manager is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that...
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Job Description & RequirementsSpecialty: Case...
Key Responsibilities
Provide telephonic triage case management for Workers' Compensation claims at first notice of injury
Conduct comprehensive clinical assessments and develop initial case management care plans
Facilitate communication among injured workers, employers, and healthcare providers
Introduces self to patient/family and explains Nurse Case Manager’s role and processes to contact the Nurse Case Manager for questions, guidance and education. Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to pa
We're searching for a Utilization Management Clinical RN, someone who works well in a fast-paced setting. In this position, you'll be responsible for providing precertification of inpatient hospitalizations and all outpatient procedures and services...
Elara Caring is seeking a Registered Nurse (RN) Manager, Hospice for a nursing job in South Houston, Texas. Job Description & RequirementsSpecialty:...
We are searching for a Case Manager. Someone who will utilize a collaborative approach, the nurse case manager will assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. Provides...
Key Responsibilities
Provide remote medical case management services to injured individuals
Coordinate and assess medical services, exploring vocational options for recovery
Collaborate with all parties involved in the claims process, including injured individuals, employers, and medical provide
A minimum of 1 year of case management experience in community case management experience highly desired. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW)
Magnet Medical is seeking a travel nurse RN Intermediate Care for a travel nursing job in Pasadena, Texas. Job Description & RequirementsSpecialty: Intermediate...
Memorial Hermann Health System is seeking a Registered Nurse (RN) Director Women's Services for a nursing job in Humble, Texas. Job Description & RequirementsSpecialty:...
A minimum of 1 year of case management experience in community case management experience highly desired. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW)
Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team
Oversees and coordinates day-to-day activities of nursing personnel in patient care units, provides direction to Clinical Staff, implements work of assigned units and coordinates activities with other patient care units and related departments.Meets expectations of the applicable OneCHRISTUS Compete
Elara Caring is seeking a Registered Nurse (RN) Home Health for a nursing job in Pearland, Texas. Job Description & RequirementsSpecialty: Home...
Supplemental Health Care is seeking a travel nurse RN Clinic Infusion for a travel nursing job in The Woodlands, Texas. Job Description & RequirementsSpecialty:...
Position Summary The RN Treatment Coordinator provides primary skin care to patients under the medical direction and supervision of patients' attending physicians in...
Key Responsibilities:
Review prior authorization requests for medical necessity and collaborate with Medical Directors as needed
Utilize evidence-based criteria and governmental policies for medical necessity reviews and manage claims disputes
Coordinate transitions of care and referrals to Care