601 Results for

Review Nurse Jobs in Houston, TX

Jobs

Houston, TX

$2,042–$2,348

Assist in arterial and/or venous sheath removal using closure devices, manual pressure, or mechanical compression, and transport patients to the appropriate recovery area . Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment .

Today

Kingwood, TX

Other services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans. As a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years.

6 days ago

Kingwood, TX

As a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years. Other services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans.

7 days ago

Kingwood, TX

6 days ago

Kingwood, TX

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. As a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years.

6 days ago

Kingwood, TX

HCA Healthcare Co-FounderAs a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years. Other services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans.

6 days ago

Kingwood, TX

6 days ago

Kingwood, TX

6 days ago

Webster, TX

Neonatal, Special Care Nursery, Step-down Nursery, Stepdown Nursery, Intermediate Intensive Care Nursery, ICN, OB ICU, S.T.A.B.L.E., STABLE, RNC-NIC, CCRN-Neonatal, RNC-LRN, C-ELBW, C-NPT, C-NNIC] . HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more.

7 days ago

Webster, TX

HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. 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.

7 days ago

Kingwood, TX

As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. As a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years.

6 days ago

Kingwood, TX

21 days ago

Kingwood, TX

5 days ago

Webster, TX

HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare.

8 days ago

Webster, TX

6 days ago

Webster, TX

HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. HCA Healthcare Co-FounderHCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital.

6 days ago

Webster, TX

6 days ago

Webster, TX

HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. [General Surgery, Post-Op, Post-Surgical, Surgical Intermediate, Med-Surg, Med/Surg, Medical Surgical, Medical/Surgical, Medical-Surgical, Telemetry].

6 days ago

Houston, TX

HCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. We comprehensively serve our community by employing expert physicians, specialists, nurses and support staff who work together as a unified team to offer a range of diagnostic treatment and support services.

9 days ago

Houston, TX

HCA Healthcare Co-FounderHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. [Medical Surgical, Medical/Surgical, Med/Surg, Med-Surg, Med/Tele, Med-Tele, Med Tele, Medical Telemetry, Medical/Telemetry, Cardiac].

9 days ago

Houston, TX

HCA Healthcare Co-FounderHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. We comprehensively serve our community by employing expert physicians, specialists, nurses and support staff who work together as a unified team to offer a range of diagnostic treatment and support services.

7 days ago

Houston, TX

7 days ago

Houston, TX

20 days ago

Houston, TX

HCA Healthcare Co-FounderHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. As an RN Trauma Injury Prevention Coordinator, you will organize the Trauma Program's injury-prevention strategies across the full continuum of care - turning data, community needs, and evidence-based practices into programs that help people stay safer and live stronger.

6 days ago

Houston, TX

HCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.

24 days ago

Webster, TX

HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. Providing focused nursing care for patients with complex needs by administering medications, managing lines or drains, and assisting with interventions like cardiac monitoring or respiratory support .

1 day ago

Houston, TX

1 day ago

Houston, TX

HCA Healthcare Co-FounderHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology. We comprehensively serve our community by employing expert physicians, specialists, nurses and support staff who work together as a unified team to offer a range of diagnostic treatment and support services.

7 days ago

Houston, TX

Review Final Validation Reports and attest that all assessments have been completed and accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill. Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation.

Today

Houston, TX

Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours. Desire and ability to effectively train and educate all nursing associates and other associates as applicable.

Today

The Woodlands, TX

SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Progressive knowledge of InterQual Level of Care Criteria or Milliman Care Guidelines and knowledge of local and national coverage determinations Recent work experience in a hospital or insurance company providing utilization review services Knowledge of Medicare, Medicaid, and Managed Care requirements Progressive knowledge of community resources, health care financial and payer requirements/issues, and eligibility for state, local, and federal programs Progressive knowledge of utilization management, case management, performance improvement, and managed care reimbursement Ability to work independently and exercise sound judgment in interactions with physicians, payers, and health care team members Strong assessment, organizational, and problem-solving skills Maintains level of professional contributions as defined in Career Path program Understands and applies federal law regarding the use of Hospital Initiated Notice of Non-Coverage (HINN), Ambulatory Benefit Notice (ABN), Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), and Condition Code 44 (CC44). Service Essential Function Pro-actively participates as a member of the interdisciplinary clinical team to confirm appropriateness of the treatment plan relative to the patient's preference, reason for admission, and availability of resources Participates in daily Care Coordination Rounds and identifies and communicates barriers to efficient utilization Reviews H&Ps and admitting orders of all direct, transfer, and emergency care patients designated for admission to ensure compliance with CMS guidelines regarding appropriateness of level of care Identifies potentially unnecessary services and care delivery settings and recommends alternatives, if appropriate, by analyzing clinical protocols Escalates appropriate cases to the Physician Advisor (or services) for appropriate second level review, peer-peer discussions, and payer denial- appeal needs Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate administrative and medical channels.

30+ days ago

Houston, TX

Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty residents and researchers from Baylor College of Medicine McGovern Medical School at The University of Texas Health Science Center at Houston UTHealth The University of Texas MD Anderson Cancer Center. As an essential healthcare system Harris Health champions better health for the entire community with a focus on low-income uninsured and underinsured patients through acute and primary care wellness disease management and population health services.

30+ days ago

Pearland, TX

Remote

$20.38–$36.44 / hour

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members.

16 days ago

Houston, TX

Community Health Choice HMO D-SNP, a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid, that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more. Work Experience: 3 years clinical experience in a managed care organization, 3 years experience working in Utilization Management environment, 3 years experience working within applicable state, federal, and third-party regulatory agencies (i.e. CMS, HHSC, TDI, and Medicaid).

30+ days ago

Kingwood, TX

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. As afull-service, 420+ bed acute care hospital,HCA Houston Healthcare Kingwoodhas provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years.

6 days ago

Houston, TX

Remote

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. Engages in phone conversations with ordering providers, members, internal staff, primary care physicians (PCPs), and rendering providers as necessary to facilitate the clinical review process and ensure appropriate care decisions.

30+ days ago

Houston, TX

Five years' experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in healthcare; for HM candidates, four years' experience in case management or social work, which includes HM performance that demonstrates progressive leadership abilities. This position serves as a subject matter expert and front-line leader, guiding clinical and non-clinical staff in UR functions, maintaining performance metrics, managing team workflows, and collaborating with physicians, case management, revenue cycle, and contracting teams to support organizational goals.

30+ days ago

Houston, TX

$79,200–$129,600 / year

We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

18 days ago

Houston, Texas

Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.

3 days ago

Houston, TX

This position will complete audits to ensure that the clinical documentation contained within the patient chart supports items and services included on the patient bill and identifies and corrects errors or discrepancies to accurately support reasons for treatment, billing, payment or operations. We are committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women's services, neurology and neurosurgery, oncology, and primary and general medicine.

30+ days ago

Houston, Texas

We are looking for a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the Houston, TX area to administer patient care in accordance with a physician established care plan. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.

30+ days ago

Houston, TX

Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management. Implements department strategies to achieve financial target on unit-based scorecard and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, minimizing incidental overtime, and other areas according to departmental specifications.

24 days ago

Baytown, TX

Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. Our career advantages include the following: Fresenius Medical Care is the nation"s largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.

18 days ago

Humble, Texas

In this role, you’ll deliver high-quality wound care and treatment services while working closely with interdisciplinary teams to enhance resident outcomes. In this role, you will: Perform dressing changes, wound assessments, and specialized skin treatments.

3 days ago

Houston, Texas

$38–$40

What you will do in this role:Provides general nursing care to assigned patients. Acts as a liaison between hospital staff, physician, patient, and family members.

30+ days ago

Houston, TX

Experience required in reviewing all POC and re-certification for: accuracy, order updates, frequency updates, goal updates, medication profiles review, format and wording, diagnoses update, C.N.A. A Quality Assurance LPN/LVN is responsible for assuring quality control of all health services provided by the Agency and for reviewing documentation for compliance and appropriateness of care.

30+ days ago

Houston, TX

Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 138 years and looking forward to the next century of exceptional care to Houstonians when they need us most. Reviews care routines, policies, procedures and/or other aspects of the mother-baby hospital experience with involved clinical staff in order to highlight successes or needs of the breast feeding dyad.

30+ days ago

Houston, TX

This role is ideal for a nurse with hands-on experience completing both skilled (Medicare) and long-term care MDS assessments, along with a strong understanding of wound-related coding and clinical documentation. Key ResponsibilitiesComplete and submit accurate, timely MDS assessments (MDS 3.0) for both skilled (Medicare) and long-term care residents.

30+ days ago

Houston, TX

Reviews proposed studies and provides feedback regarding potential patient/protocol management issues prior to study submission or activation including but not limited to study schedule, managing study drug toxicity, adverse event reporting and data capture for study endpoints. Directs and maintains timely accountability of study research staff in appropriate methods for managing protocol-related costs and charge capture; provides quality assurance for the charge process (e.g., review of study milestone logs or other applicable systems).

30+ days ago

Bellaire, TX

Taking vital signs; Administering medical treatments; Changing and dressing wounds; Administering medication safely; Performing medical testing; Performing student health/physical assessments; Maintaining confidentiality; Providing customer service; Using a computer and related software applications; Communication, interpersonal skills as applied to interaction with subordinates, coworkers, supervisor, the general public, etc. Provides medical care to students including emergency first aid and treatment for illnesses and injuries using the nursing process of assessment, diagnosis, planning, implementation and evaluation to direct care; administers medications in accordance with doctors' orders; may delegate and monitor specific nursing tasks to promote the health of students.

30+ days ago

Stand out to leading employers.

Upload your resume and let employers find you for new Review Nurse job openings. Plus, receive relevant job matches delivered straight to your inbox.

Create A Free Account

Review Nurse Jobs in Houston, TX

Travel Cath Lab RN Fusion Medical Staffing

Registered Nurse MICU HCA Houston Healthcare Kingwood

Registered Nurse Labor and Delivery PRN HCA Houston Healthcare Kingwood

Registered Nurse Emergency Room FSED PRN HCA Houston Healthcare Kingwood

Registered Nurse CVOR HCA Houston Healthcare Kingwood

Registered Nurse Operating Room PRN HCA Houston Healthcare Kingwood

Registered Nurse Rapid Response Team HCA Houston Healthcare Kingwood

Registered Nurse Acute Care Telemetry PRN HCA Houston Healthcare Kingwood

NICU Registered Nurse HCA Houston Healthcare Clear Lake

NICU Registered Nurse PRN HCA Houston Healthcare Clear Lake

Registered Nurse Float Pool HCA Houston Healthcare Kingwood

Clinical Nurse Coordinator IMCU HCA Houston Healthcare Kingwood

Registered Nurse CV Neuro ICU HCA Houston Healthcare Kingwood

Same Day Surgery Registered Nurse PRN HCA Houston Healthcare Clear Lake

CVOR Registered Nurse PRN HCA Houston Healthcare Clear Lake

Acute IP Surgical Med Surg Registered Nurse HCA Houston Healthcare Clear Lake

Endoscopy Registered Nurse PRN HCA Houston Healthcare Clear Lake

Acute Inpatient Post Surgical Registered Nurse HCA Houston Healthcare Clear Lake

Labor and Delivery Registered Nurse PRN HCA Houston Healthcare Northwest

Acute Inpatient Telemetry Registered Nurse HCA Houston Healthcare Northwest

PACU Registered Nurse HCA Houston Healthcare Northwest

PACU Registered Nurse PRN HCA Houston Healthcare Northwest

Labor and Delivery Clinical Nurse Coord HCA Houston Healthcare Northwest

Registered Nurse Injury Prevention Coordinator HCA Houston Healthcare Northwest

Acute Inpatient Telemetry Clinical Nurse Coord HCA Houston Healthcare Northwest

Licensed Vocational Nurse HCA Houston Healthcare Clear Lake

Endoscopy Registered Nurse PRN HCA Houston Healthcare Northwest

Registered Nurse ED Flow Throughput Coordinator HCA Houston Healthcare Northwest

MDS Coordinator (Registered Nurse/RN) Garden Terrace Alzheimer's Center of Excellence (Houston)

Staff Development Coordinator (Registered Nurse/RN) Garden Terrace Alzheimer's Center of Excellence (Houston)

Utilization Review Nurse Houston Methodist Hospital

PRN Utilization Management Review Nurse Harris Health System

Utilization Review Spec LVN Remote - Kelsey Seybold Clinics - Remote UnitedHealth Group Inc

Secondary Review & Notification RN Harris Health System

Registered Nurse Emergency Room HCA Houston Healthcare Kingwood

Nurse - Clinical Review WNS (Holdings) Ltd

Centralized Utilization Review Manager Houston Methodist Hospital

Clinical Medical Review - Oncology (Underwriting) (JR192475) Elevance Health Inc

Emergency Medicine Telecommute Medical Review Stream Physician Concentra

Nurse Auditor Houston Methodist Hospital

Registered Nurse (RN) or Licensed Practical Nurse (LPN) Giving Home Health Care

Registered Nurse (RN II) Cardiac Med Surg Charge Nurse Houston Methodist Hospital

Outpatient Licensed Practical Nurse - LPN LVN Fresenius Medical Care AG & Co KGaA

Treatment Nurse - LVN or RN Oakmont Healthcare and Rehabilitation of Humble

Registered Nurse Real Comfort Living LLC

LVN (Hospice) - Quality Assurance - Full Time - Houston Harbor Healthcare System

Registered Nurse- Lactation Specialist St. Josephs Medical Center

MDS Nurse (RN/LVN) West Janisch Healthcare

Research Nurse Manager - Head & Neck Surgery MD Anderson

Licensed School Nurse Northeast Metro 916 Intermediate School District

Similar Job Searches