Utilization Review Nurse Jobs in San Antonio, Texas

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19 San Antonio, TX Utilization Review Nurse jobs found on Monster.

Jobs 1 to 19 of 19
Description: WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Do you have compassion and a p...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Description: Want to learn more before applying for this role? Click here to view the Realistic Job Preview: UHC_Telephonic_UM_Nurse.pdf Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, you...
Description: Want to learn more before applying for this role? Click here to view the Realistic Job Preview: UHC_Telephonic_UM_Nurse.pdf Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, you...
Prospect is looking for the ideal candidate to fill our Case Manager or Inpatient Concurrent Review Nurse positions: As Inpatient Concurrent Review Nurse, You are responsible for coordination of daily onsite and inpatient concurrent reviews and discharge planning including Transition of care management for MA, Commericial and Dual Eligible population in accordance with Prospect Medical Group polic...
Full Time Wonderful opportunity for a Registered Nurse! This position is based out of our Home Health office located at 417 Live Oaks, San Antonio, TX. This position is 100% administrative and does NOT participate in “on call” rotation. This position is for a Quality Review Home Health Nurse. A career with Brookdale has never been more rewarding. As a senior living solutions company, Brookdale is...
Description: Be a part of a growing team! This position will have to rotate Saturdays as part of the schedule. The Supervisor Utilization Management is responsible for utilization management which includes Concurrent Review and Prior Authorizations. (Telephonic Inpatient Care Management). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient...
Prospect Medical is searching for a qualified: Referral Nurse SUMMARY This position provides support to health network providers. Responsible to review Treatment Authorization Requests (TAR’s)/Cerecons requests for approval, modification and works with Medical Director daily on denials and medical necessity reviews. ESSENTIAL DUTIESinclude, but are not limited to: · Referral Review: Review of refe...
Location: Randolph Air Force Base Position: Registered Nurse - Disease Management GCI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, disability, or national origin. GCI gives preferential treatment to veterans. Global Consulting International seeks candidates for a full time p...
Location: Randolph Air Force Base Position: Registered Nurse Case Manager GCI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, disability, or national origin. GCI gives preferential treatment to veterans. Global Consulting International seeks candidates for a full time position...
Description: Help lead a growing and dynamic team! The Manager of Care Management is responsible for facilitating communication and directing the operations of all Disease Management (DM), Utilization Management (UM), Transition Management, and Complex Care Case Management services in a defined market. The Manager collaborates with the Regional Director of Care Management and updates the market st...
EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or case management experience desirable (managed care or hospital setting). LICENSURE/CERTIFICATIONS: Possession of C...
EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or case management experience desirable (managed care or hospital setting). LICENSURE/CERTIFICATIONS: Possession of C...
Description: Inpatient Case Management Medical Director UnitedHealthcare Clinical Services (UCS) conducts medical management activities for commercial, Medicare and retirement, and community and state business. The majority of these activities are concentrated in inpatient review and appropriate inpatient utilization, although depending upon location and products covered, functions such as pre-cer...
EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or case management experience desirable (managed care or hospital setting). LICENSURE/CERTIFICATIONS: Possession of C...
EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or case management experience desirable (managed care or hospital setting). LICENSURE/CERTIFICATIONS: Possession of C...
- BLS Healthcare Provider Required - Must maintain current Texas State Registration - 1 year experience required EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or c...
EDUCATION: Graduate of an accredited School Nursing EXPERIENCE: 3 years recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc. Utilization review and/or case management experience desirable (managed care or hospital setting). LICENSURE/CERTIFICATIONS: Possession of C...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM The Census Data Unit (CDU) is responsible for the management of the Census Data for accurate Bed...
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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in San Antonio
(311 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40.9%
Master's
30.7%
Associates
22.8%
(215 Respondents)
Source: Monster.com Careerbenchmarking Tool

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