Utilization Review Nurse Jobs in San Antonio, Texas
9 San Antonio, TX Utilization Review Nurse jobs found on Monster.Jobs 1 to 9 of 9
POSITION SUMMARY/RESPONSIBILITIES: Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficie...
EXCITING JOB OPPORTUNITY for the Nurses in Texas working with a rapidly growing organization. This role is an amazing opportunity to grow and diversify your career as a Nurse. In this role as a Utilization Review Nurse, you will engage in medical record review in order to build quality reports based on given criteria. Keys to success in this Utilization Review Nurse role will be producing quality...
Description: Be a part of our growing team! No nights or on-call! This is an office based position and all candidates must be able to work on Saturday as a regular schedule or rotation. Shifts vary starting at 8:00 and 10:00 am and ending between 5:00 and 7:00 pm. The Utilization Management Nurse is responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment p...
Job Title Prior Authorization/Utilization Management Nurse Department Utilization Management Reports To Medical Director, Utilization Management Location San Antonio, Texas Posting Date 03/01/2013 Posting Expiry Date 03/31/2013 FSLA Status Exempt Purpose The role of the Utilization Management Nurse is to provide prior authorizations, discharge planning and coordination of the member’s care by prov...
HealthCare Scouts – Position located in San Marcos, TX Utilization Review LVN/LPN OR RN SEEKING AMAZING Utilization Review LVN/LPN OR RN Are you interested in working for an employer recognized by employees as one of the Top Workplaces in San Marcos for Nurses? Do you want to put your skills to use in a dynamic healthcare environment? If you are a talented Nurse who wants to take ownership over yo...
Prospect is looking for a dedicated, dependable and goal oriented RN's. Case Management experience in Concurrent Review, Skilled Nursing (SNF/Acute), Complex Cases and Ambulatory Case Management. Ideal candidate who is ready for a challenge to manage patients through the continuum of care for our new, exciting Texas VIDA Network. Inpatient Concurrent Review Nurse - Case Manager - RN positions: Tex...
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...
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...
I believe my work is my calling. As a RNManager of Clinical Practice, you will: Have oversight of clinical activities, including patient assessments, individualized care plan development, care coordination, service level determination, on-site field visits, and the implementation/coordination/maintenance/evaluation of care plans to promote, maintain and restore the patients health. Responsible for...
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What are the pros an cons of being a rn nurse?
I just got out of high school an i Always wanted to do something big in my life an i would love going into the medical field but i just wanted to know more about it an how collage would go an the care...
RNs please answer my questions?
I just starting med school and LOVE it. I always wanted to be an RN, but i just hear so many bad things about the job. First of all are you really like a SLAVE? people just make it seem like your a wo...
Career Change but Not sorta...?
Try to make this short: -Im an LPN student basically in the first quarter. I have a 3.8 GPA -Im 24 and my previous work history since I was 18 has been in the Industrial field (factory work). Very g...
What are the job responsibility differences between hospital discharge planners and nursing case man...
I am a BSN looking to get back into the nursing field but would prefer not to provide direct bedside nursing care. I have been looking into Case Management positions but notice that some job descripti...
Would it be possible to major in nursing and minor in social work?
Im interested in both and not sure which to pursue so i was wondering if i could do both or would it be to much work.
Healthcare Career Tools
$53,600.00 - $103,400.00
Typical Salary for Nurse Manager in San Antonio
Source: Monster.com Careerbenchmarking Tool
Education / Training
Source: Monster.com Careerbenchmarking Tool
Promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area; directing and developing staff; providing physical and psychological support for patients, friends, and families.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Promotes patient's independence by establishing patient care goals; teaching and counseling patient, friends, and family and reinforcing their understanding of disease, medications, and self-care skills.
Achieves financial objectives by preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions.
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