Utilization Management Nurse jobs in Houston, TX

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Utilization Review Nurse
Utilization Review Nurse - 2Health Solutions Job Description The Utilization Review Nurse serves as a contact and resource person to Health Solutions’ members...
Behavioral Health Care Manager
WellCare - 611 reviews - Houston, TX 77082
2 years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management...
Quality Improvement Specialist - Decentralized (8a - 5p)
Project Management knowledge. Develops and produces reports for performance improvement/safety, guideline utilization, and outcomes for areas of responsibility....

eSolutions Implementations Consultant - Nurse Education

Elsevier - 183 reviews - Houston, TX
At least 3 years as a Nurse Educator using digital products in a school of nursing REQUIRED. Demonstrate a high level of understanding and comfort with...
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Quality Improvement Nurse (HEDIS), RN or LPN - Houston, TX

Humana - 2,338 reviews - Houston, TX 77056 (Galleria-Uptown area)
Previous utilization management, hospital or physician office practice experience. The Quality Improvement Nurse will facilitate and work collaboratively with...

Utlization Review Nurse

Medix - 61 reviews - Houston, TX
To support care management initiatives, the UR Nurse shall also identify enrollees in need of case/disease management services so that proactive interventions...

RN - Clinical Coordinator

Catholic Health Initiatives - 245 reviews - Houston, TX
Registered Nurse (RN). In conjunction with management,. Performance appraisals, and reports results to management....

Chief Nursing Officer

St. Joseph Medical Center - 143 reviews - Houston, TX 77002 (Downtown area)
Directs/Evaluates Human Resources Utilization. Fosters atmosphere of learning and innovation, develops nursing management skills....

Quality Management Coordinator - Ben Taub

Harris Health System - 124 reviews - Houston, TX 77030 (Medical area)
The QMC provides ensures area care delivery, quality management, and staff utilization patterns are congruent with the Quality framework....

Utilization Review Case MgrCMC

The University of Texas Medical Branch - 415 reviews - Friendswood, TX  +1 location
Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise, and criteria guidelines. Utilization Review Case MgrCMC....

On Site Utilization Management Coordinator (RN)

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 11 reviews - Houston, TX
Utilization management experience. Registered Nurse (RN) with valid, current, unrestricted license in the state of operations....

Discharge Nurse

Houston Methodist - 852 reviews - Houston, TX 77030 (Medical area)
Registered Nurse with current Texas license. The Discharge Nurse is a Registered Nurse, who as an experienced clinician functions at the competent stage of...

Performance Improvement Specialist

Houston Methodist - 852 reviews - Houston, TX 77030 (Medical area)
2 or more years experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred....
RN Clinical Educator
Weekly and monthly reports completed and turned in to meet time management deadlines. Attends continuum meetings to facilitate appropriate utilization of...
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Sponsored by U.S. Medical Management
Utilization Review Nurse
IntegraNet Health - Houston, TX 77018
Utilization Management Director. Utilization Management or Case Management:. Preferred knowledge in case management principles, utilization management...
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