Utilization Review Nurse jobs in San Antonio, TX

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Registered Nurse Case Manager - Case Management (Full Time D...
Methodist Hospital 439 reviews - San Antonio, TX
Prefer at least one year experience in utilization review, resource management, discharge planning or case management....
Sponsored by HCA Inc
CASE MANAGER,RN-NORTH CENTRAL BAPTIST HOSPITAL (STONE OAK AR...
North Central Baptist Hospital 13 reviews - San Antonio, TX
Utilization review, resource management, coordination of care, transition/discharge planning, across the episode of care....
Sponsored by Tenet Healthcare
Director of Nursing - Case Management (Full-Time Days) - Met...
Metropolitan Methodist Hospital 24 reviews - San Antonio, TX
The director is accountable for developing, executing and monitoring tools/processes to support effective Utilization Review, Resource Management and Discharge...
Sponsored by HCA Inc

Concurrent Review Nurse I

Centene Corporation 216 reviews - San Antonio, TX
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 507 reviews - San Antonio, TX 78229
Join a team of registered nurses, physicians, case managers and nonclinical staff as a Utilization Management Nurse....

Registered Nurse (RN) Supervisor, Utilization Management II

Molina Healthcare 147 reviews - San Antonio, TX
Completes quality audit reviews for all clinical / non-clinical staff. Collates and reports on Care Access and Monitoring statistics including plan utilization,...

Utilization Management Coordinator

WellMed Medical Mgmt, Inc - San Antonio, TX
Prepares administrative files for Medical Directors, UM Nurses and Case Managers. Coordinates initial screening for UM claim reviews through claim queue....

Registered Nurse (RN) Case Manager

Aetna 507 reviews - San Antonio, TX
Click here to review the benefits associated with this position. An active & unrestricted Registered Nurse (RN) license for the state of TX is required....

Nurse Case Manager II

University Health System 58 reviews - San Antonio, TX
Work experience in case management, utilization review or hospital quality assurance is preferred. Current licensure as a Registered Nurse with the Texas State...

Utilization Review Manager

Specialty Pharmacy Jobs - San Antonio, TX
As the Utilization Review Manager -. Also includes hiring, training and performing staff performance reviews. As we continue to experience tremendous growth, we...

Utilization Management Coordinator- WellMed

WellMed Medical Mgmt, Inc - San Antonio, TX
Prepares administrative files for Medical Directors, UM Nurses and Case Managers. Coordinates initial screening for UM claim reviews through claim queue....

Family Practice/Primary Care - RN

MedTrust 2 reviews - San Antonio, TX
Registered Nurse - Utilization Manager RNWe are currently seeking to hire a Registered Nurse - Utilization Manager for a military treatment facility in San...

Part-Time (20 hrs) Registered Nurse (RN) Case Manager

Aetna 507 reviews - San Antonio, TX 78229
Click here to review the benefits associated with this position. An active & unrestricted Registered Nurse (RN) license for the state of Texas is required....
CASE MANAGER,RN-MISSION TRAIL BAPTIST HOSPITAL-FT40, DAYS
Mission Trail Baptist Hospital 3 reviews - San Antonio, TX
Utilization review, resource management, coordination of care, transition/discharge planning, across the episode of care....
Sponsored by Tenet Healthcare
Utilization Mgmt Nurse RN- SIGN ON BONUS- San Antonio, TX
UnitedHealth Group 2,059 reviews - San Antonio, TX
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
Sponsored by UnitedHealth Group

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Company with Utilization Review Nurse jobs
Houston Methodist has been named FORTUNE’s “100 Best Companies to Work For” & has been also ranked the #1 health care organization in Texas.