Utilization Review Nurse Jobs in San Antonio, Texas

Currently, there are no Utilization Review Nurse jobs available in San Antonio, Texas which match this search. You may wish to explore similar job titles on the Healthcare jobs in Texas page or view related jobs below.
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Description: The RN Manager of Utilization Management Operations is responsible for driving cost effective, quality of care services for members through daily coordination among medical directors, UM staff, the provider network and various other departments. This position is also responsible for overseeing all compliance functions, the denial and appeal process and for providing administrative an...
Molina Healthcare Inc San Antonio, TX
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorization...
- 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/...
Description: Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) Be a part of a growing team! Utilize your case management skills to impro...
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...
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...
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...
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. WellMed is now part of the O...
EDUCATION: Graduate of accredited School of Vocational Nursing EXPERIENCE: 3 years of 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. LICENSE/CERTIFICIATIONS: Possession of current Texas State License for Licensed vocational Nurse. BLS-Obtained through appro...
WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Amerigroup, a proud member of the WellPoint family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities. Here, you...
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. WellMed is now part of the O...
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 ...
Description: ** Day Shift with rotating weekend responsibilities ** For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) Responsibilities for a B...
Job Title: Onsite Nurse Case Manager Position Summary: The case manager position will manage patients in the alternate level of care setting for Corpus Christi and surrounding areas. Position for RN or LVN with 3 years utilization management experience and 5 years clinical experience. This position will require telephonic and on-site review for medical appropriateness and patient progression. ...
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 B...
PURPOSE AND SCOPE: Supports FMCNAâ??s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as a member of the Home Dialysis Team asthe Home Therapy Staff Nurse.Ensures provision of quality Home Dialysis Training and patient care in accordance with FMS policies, procedures a...
Marten Transport San Antonio, TX
Company DescriptionProspect Medical Group is an Independent Physician Association (IPA) with highly qualified primary care and specialty physicians and affiliated hospitals providing Quality Care - Quality Service to families and individuals for over 20 years. We have a long history as a respected leader in managed healthcare. Prospect provides added services beyond what your health plan offers th...
Position Overview: The purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction. Promotes continuity of care and cost effectiveness, through the integration of case management, u...
Molina Healthcare Inc San Antonio, TX
Job Summary Manages implementation and monitors progress of Healthcare Services programs designed to improve quality, control medical costs and ensure compliance with all state and federal regulations and guidelines. Collaborates with the integrated Healthcare Services team to ensure programs are standardized and provide optimal outcomes for Molina Healthcare Members. Provide clinical expertise a...
St. Joseph Medical Center San Antonio, TX
Description Responsible for the direction of staff and fiscal resources of the entire hospital Case Management program. Exhibits leadership skills that support the Mission, Vision and Values of the hospital, while focusing on our patients, physicians, staff, and the community's needs. Acts as a liaison with our Hospitalists Program. Functions across the health care continuum, interfacing with pro...

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Healthcare Career Tools

Nurse Manager

Salaries

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

Education / Training

Bachelor's
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Master's
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Source: Monster.com Careerbenchmarking Tool

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