HCA Houston Healthcare SoutheastRegistered Nurse Case Manager PRN HCA Houston Healthcare SoutheastRegistered Nurse Case Manager PRNPasadena, TXThe RN case manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. 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.
The Woman's Hospital of TexasLabor and Delivery Nurse Manager The Woman's Hospital of TexasLabor and Delivery Nurse ManagerHouston, TXAdditional 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. Today, we are the state’s premier facility dedicated to the health of women and children offering expertise and an outstanding level of care in breast health, imaging, gynecology, minimally invasive surgery, infertility, obstetrics, high-risk pregnancy, and pediatrics.
Yale New Haven HealthNewMedical-Surgical Registered Nurse (Med-Surg RN) Yale New Haven HealthMedical-Surgical Registered Nurse (Med-Surg RN)Bellaire, NYThis specialized department caters to both medical oncology patients, who receive systemic therapies like chemotherapy, immunotherapy, and targeted therapies, and surgical oncology patients, who are in various stages of their surgical journey, including pre-operative evaluation, post-operative care, and follow-up. Additional Information Smilow Ambulatory Multispecialty Department YSC (NP 1, NP4, NP8) This department is rooted in oncology nursing excellence and serves as a hub for patients undergoing cancer treatment and management for solid tumor cancers.
HCA Houston Healthcare WestNurse Manager RN Med Surg Telemetry HCA Houston Healthcare WestNurse Manager RN Med Surg TelemetryHouston, TXAdditional 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. The Sugar Land Cancer Center and the Sugar Land Diagnostic Center, departments with HCA Houston Healthcare West, provide additional services to meet the needs of our community.
One MedicalNewVirtual Family Nurse Practitioner - TX Licensed One MedicalVirtual Family Nurse Practitioner - TX LicensedHouston, TX$59.10–$65.50 / hourIn the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+) . The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers.
HCA Houston Healthcare WestNewLaboratory Director HCA Houston Healthcare WestLaboratory DirectorHouston, TXOur infrastructure includes a fully automated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo, Florida, and a network of hospital-based rapid-response laboratories present in four HCA Healthcare divisions in Florida. HCA Healthcare Laboratory Services is a full-service provider of clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients with timely diagnostic information for patient care.
TravelNurseSourceNewTravel Nurse RN - Occupational in Spring, TX TravelNurseSourceTravel Nurse RN - Occupational in Spring, TXSpring, TXDetermines and communicates Fitness For Work and trains others in the provision of this service including the following: case management of injury/illness, routine and non routine travel preparation, occupational evaluations, may be providing regional or global support. A Nurse I provides occupational health services typically at multiple sites or operations, and provides corporate wide or global nursing support through appropriate networks and committees.
Westpark SpringsNewTherapist Westpark SpringsTherapistRichmond, TXOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Actively communicates with clients, families, and outside referral sources, functioning within the scope of HIPAA and 42 CFR Part 2. Demonstrates proactive communication with those involved with the patient's treatment, documenting all correspondence held with patients and other stakeholders.
OptumNewCertified Diabetes Care and Education Specialist OptumCertified Diabetes Care and Education SpecialistSUGAR LAND, TX$60,200–$107,400 / yearCollaborates with various ancillary services to assure appropriate supplies, equipment, laundry, pharmaceutical and computer-related issues and items are available to clinic site at all times for smooth and efficient patient care delivery. Reviews with health service coordinators perceived problems in patient education resources, staff education needs, resource availability, patient transition problems, financial data, multidisciplinary team functioning and patient and family expectations.
Memorial Hermann Health SystemPhysician Experienced Hospitalist (NOCTURNIST) Needed in Northeast Houston, TX Memorial Hermann Health SystemPhysician Experienced Hospitalist (NOCTURNIST) Needed in Northeast Houston, TXHumble, TXLocated just east of George Bush Intercontinental Airport off Highway 59, Memorial Hermann Northeast has been recognized by the Joint Commission as a Top Performer on Key Quality Measures and offers a broad array of service lines including interventional cardiology, oncology, spine surgery, orthopedics and sports medicine, and endovascular surgery. Established in 2006, the Memorial Hermann Medical Group (MHMG) includes primary care physicians, specialists and advanced practice providers who all share a single focus - to practice evidenced-based medicine in order to provide an exceptional level of collaborative, quality patient-centered care.
Harris Health SystemPRN Utilization Management Review Nurse Harris Health SystemPRN Utilization Management Review NurseHouston, TXHarris 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.
Houston Methodist HospitalUtilization Review Nurse Houston Methodist HospitalUtilization Review NurseThe Woodlands, TXSKILLS 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.
UnitedHealth Group IncUtilization Review Spec LVN Remote - Kelsey Seybold Clinics - Remote UnitedHealth Group IncUtilization Review Spec LVN Remote - Kelsey Seybold Clinics - RemotePearland, TXRemote$20.38–$36.44 / hourThe 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.
Healthcare SupportNewRight to Hire - Utilization Management Healthcare SupportRight to Hire - Utilization ManagementHouston, TXRemoteThe UM RN will help ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policy's, protocols, and procedures. 2. Assists in discharge planning especially Home Health Nursing requests and DME requests for members at the time of discharge as well as new requests for members who have not had recent hospitalization.
Harris Health SystemNewManager Utilization Management Harris Health SystemManager Utilization ManagementHouston, TXHarris 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; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. The Manager, Utilization Management (MUM) coordinates the design, development, implementation, and monitoring of the system utilization management functions with the aim to achieve clinical, financial, and utilization goals through effective management, communication and role modeling.
Universal Health ServicesNewUtilization Management Coordinator Universal Health ServicesUtilization Management CoordinatorHouston, TXOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital's Performance Improvement Plan.
Judge GroupUtilization Mgmt Nurse RN Judge GroupUtilization Mgmt Nurse RNPearland, TXRemote$38–$39 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. The Acute / Post-Acute UM Nurse plays a crucial role in supporting inpatient utilization management processes.
Houston Methodist HospitalCentralized Utilization Review Manager Houston Methodist HospitalCentralized Utilization Review ManagerHouston, TXFive 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.
Houston Methodist HospitalManager Case Management & Social Services RN Houston Methodist HospitalManager Case Management & Social Services RNSugar Land, TXHouston Methodist Sugar Land offers access to the most innovative care available, including comprehensive cancer care; neuroscience and spine care; orthopedics and sports medicine; heart and vascular care; women's services; childbirth center with level III NICU; bariatric and digestive care; and advanced imaging - all backed by our focus on healing people today and offering hope for tomorrow. At Houston Methodist, the Manager Case Management & Social Services RN position is responsible for functional and operational aspects of the Case Mgmt./Social Work department, an integrated, interprofessional department which supports caregivers to provide the highest quality, most clinically appropriate care to patients and while promoting the most cost-effective utilization of the hospital's resources.
Houston Methodist HospitalDirector of Case Management & Social Services (RN) Houston Methodist HospitalDirector of Case Management & Social Services (RN)The Woodlands, TXSets direction for Case Management/Social Services which supports strategic and operational plans, and overall healthcare trends, by establishing goals and outcomes that are aligned with performance expectations and establishing targets and processes to support initiative of clinical quality and length of stay. Ability to identify and understand issues, problems, and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.
Harris Health SystemNewCare Management Nurse RN Harris Health SystemCare Management Nurse RNHouston, TXCommunity 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. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: ' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women.
Houston Methodist HospitalRegistered Nurse (RN II) Cardiac Med Surg Charge Nurse Houston Methodist HospitalRegistered Nurse (RN II) Cardiac Med Surg Charge NurseHouston, TXResponsibilities 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.
Houston MethodistRegistered Nurse (RN) RN II AOD WT 3 FT Days Houston MethodistRegistered Nurse (RN) RN II AOD WT 3 FT DaysHouston, TXThis position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes.
Houston Methodist HospitalRegistered Nurse (RN) RN II AOD WT 3 FT Days Houston Methodist HospitalRegistered Nurse (RN) RN II AOD WT 3 FT DaysHouston, TXThis position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management. As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation's largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program.
Harris Health SystemSecondary Review & Notification RN Harris Health SystemSecondary Review & Notification RNHouston, TXCommunity 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).
MD AndersonClinical Nurse, Outpatient - Sarcoma Center MD AndersonClinical Nurse, Outpatient - Sarcoma Centerhouston, TXPediatric Advanced Life Support (PALS) if working in the following departments: ASC Post Anesthesia (600761) or Pedi - Child & Adolescent Center (113200).\n \nPreferred: Certification in Oncology Nursing \n \nAll clinical nurses with less than one year of registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program.\n \nThe University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.\n \nThis position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. \nIdentifies barriers to care and contributes to effective solutions.\n \nBuilds strong partnerships across departments to support patient outcomes.\n \nExemplary Professional Practice\n \nTrains, mentors, and supports team members to ensure optimal care and resource utilization.\n \nManages and delivers patient care in assigned areas.\n
Knight Health Holdings LLCDirector of Case Management Full Time Knight Health Holdings LLCDirector of Case Management Full TimeHouston, TXThis role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization. Our long-term acute care hospital (LTACH) offers advanced, hospital-level treatment for chronically and critically ill patients requiring extended stays.
Houston Methodist HospitalNewCharge RN II LTAC Houston Methodist HospitalCharge RN II LTACHouston, TXThe facility offers both inpatient and outpatient services, including hemodialysis or peritoneal dialysis, infectious disease management, intensive care, pain management, postsurgical complication management, pulmonary care management, trauma and neurological injury management, and outpatient rehabilitation therapies. 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.
Houston Methodist HospitalNewCase Manager - RN Houston Methodist HospitalCase Manager - RNHouston, TXAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. 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.
Houston Methodist HospitalCharge RN II Oncology Houston Methodist HospitalCharge RN II OncologyHouston, TXResponsibilities 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. The growing campus offers access to the most innovative medical and surgical care available, including cardiology and cardiovascular surgery; neurology and neurosurgery; comprehensive cancer care; orthopedics and sports medicine; gastroenterology; bariatrics; childbirth center with level III NICU; emergency care; and advanced imaging.
Houston Methodist HospitalCharge RN II Medical/Surgery Houston Methodist HospitalCharge RN II Medical/SurgeryHouston, TXResponsibilities 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.
Houston Methodist HospitalNewCharge Registered Nurse II Emergency Department Houston Methodist HospitalCharge Registered Nurse II Emergency DepartmentHouston, TXResponsibilities 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.
Houston Methodist HospitalCharge Nurse - Med/Surg Houston Methodist HospitalCharge Nurse - Med/SurgCypress, TXResponsibilities 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.
Houston Methodist HospitalCharge Nurse - Neuro Acute Care Houston Methodist HospitalCharge Nurse - Neuro Acute CareThe Woodlands, TXAlso, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. 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.
Houston Methodist HospitalPoint of Entry Nurse | Transfer Center Houston Methodist HospitalPoint of Entry Nurse | Transfer CenterHouston, TXObtains relevant clinical data from sending facilities, working effectively with accepting physicians and nurses to ensure clear communication among caregivers and assist in correct clinical placement of patients to consistently achieve desired outcomes for patient care. This position ensures a compassionate, integrated, multi-disciplinary case approach which supports health caregivers to provide the highest quality, most clinically appropriate admission placement of patients, while promoting the most cost-effective utilization of the hospital's resources for those patients admitted to the hospital.
Cantex Continuing Care Network LLCLVN Scheduler (Licensed Vocational Nurse) Home Health - LVN Preferred (22810) Cantex Continuing Care Network LLCLVN Scheduler (Licensed Vocational Nurse) Home Health - LVN Preferred (22810)Stafford, TXJob Summary: TheraCare Home Health is seeking a detail-oriented and organized LVN Scheduler to manage client and staff schedules across multiple locations. You will maintain accurate scheduling, coordinate staffing needs, and address day-to-day changes with care providers and clients.
Erickson Senior LivingADON RN Erickson Senior LivingADON RNHouston, TXEagle's Trace helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. Monitoring clinical quality areas including wound care, infection control, falls risk reduction, pain management, weight loss, and dehydration.
Memorial Hermann Health SystemNewManager, Case Management Memorial Hermann Health SystemManager, Case ManagementHouston, TXSupports growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed. Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
Memorial Hermann Health SystemNewManager of ED and OBS Case Management Memorial Hermann Health SystemManager of ED and OBS Case ManagementHouston, TXSupports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed. Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
Houston Methodist HospitalManager Case Management Houston Methodist HospitalManager Case ManagementCypress, TXAt Houston Methodist, the Manager Case Management & Social Services RN position is responsible for functional and operational aspects of the Case Mgmt./Social Work department, an integrated, interprofessional department which supports caregivers to provide the highest quality, most clinically appropriate care to patients and while promoting the most cost-effective utilization of the hospital's resources. 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.
Houston Methodist HospitalCharge Nurse (RN) II - Emergency Dept Houston Methodist HospitalCharge Nurse (RN) II - Emergency DeptSugar Land, TXLICENSES AND CERTIFICATIONS Required: • RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing • PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) • BLS - Basic Life Support or Instructor (AHA) - American Heart Association • ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association • PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association • NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association • NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) - Crisis Prevention Institute Preferred: • Magnet - ANCC Recognized Certification • ENPC - Emergency Nursing Pediatric Certification (ENA) • TNCC - Trauma Nursing Core Course or Instructor (ENA). Houston Methodist Sugar Land offers access to the most innovative care available, including comprehensive cancer care; neuroscience and spine care; orthopedics and sports medicine; heart and vascular care; women's services; childbirth center with level III NICU; bariatric and digestive care; and advanced imaging - all backed by our focus on healing people today and offering hope for tomorrow.
Houston Methodist HospitalNewCase Manager-Registered Nurse (RN) Houston Methodist HospitalCase Manager-Registered Nurse (RN)Houston, TXAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation's largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program.
Houston Methodist HospitalNewCharge Nurse II (RN) Unity 5 Houston Methodist HospitalCharge Nurse II (RN) Unity 5Baytown, TXHouston Methodist Baytown is committed to meeting the needs of its growing community through the ongoing facilities master plan expansion project, which includes a new, expanded emergency department, a five-story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit and the addition of technologically advanced operating rooms. 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.
Houston Methodist HospitalCharge Nurse RN II LTAC Houston Methodist HospitalCharge Nurse RN II LTACHouston, TXLICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months and NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months. The facility offers both inpatient and outpatient services, including hemodialysis or peritoneal dialysis, infectious disease management, intensive care, pain management, postsurgical complication management, pulmonary care management, trauma and neurological injury management, and outpatient rehabilitation therapies.
Elevance Health IncNewNurse Case Manager II (US) Elevance Health IncNurse Case Manager II (US)Houston, TXThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. 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.
Elevance Health IncLTSS Service Coordinator - RN Clinician Elevance Health IncLTSS Service Coordinator - RN ClinicianHouston, TXThe LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Minimum Requirements: Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
Elevance Health IncTelephonic Nurse Case Manager II Elevance Health IncTelephonic Nurse Case Manager IIHouston, TX$79,464–$119,196 / yearThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. 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.
Elevance Health IncNurse Case Manager II Elevance Health IncNurse Case Manager IIHouston, TXThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. 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.
Houston Methodist HospitalCharge RN II Med Surg Houston Methodist HospitalCharge RN II Med SurgHouston, TXResponsibilities 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.
WNS (Holdings) LtdNurse - Clinical Review WNS (Holdings) LtdNurse - Clinical ReviewHouston, TXRemoteWNS, 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.