3+ years clinical nursing experience. Registered Nurse (RN) Ability to analyze documentation of clinical care. Excellent written and verbal communication skills; is a critical thinker and has excellent time management skills. All other requirements necessary for this position.
Current unencumbered RN license for the state of Texas and any other compact states. Ability to work remotely and be available for daily huddle calls via conference call and or WebEx sessions. In-depth knowledge of current standard of medical practices and insurance benefit structures.
A workers compensation cost containment firm is searching for a person to fill their position for a Remote Utilization Review Nurse in Dallas. Must be able to: Perform utilization review for workers' compensation claims. Assist in UR file preparations to ensure completeness and accuracy.
A full service staffing and recruitment firm is in need of a Remote Nurse Coding Specialist Clinical Investigator in Houston. Individual must be able to fulfill the following responsibilities: Perform clinical coverage review of CPT and HCPCS coded claims.
Graduate from an Accredited School of Nursing. Current state’s RN license. Knowledge of utilization management principles and healthcare managed care. 2+ years of clinical nursing experience in an acute care setting and 1+ years of case management experience in a managed care setting.
A health insurance company has a current position open for a Telecommute Orthopedics Registered Nurse in the Houston Area. Core Responsibilities of this position include: Performing assessments to create a care plan. Conducting medical management activities.
Associates, Bachelor's degree or work equivalent. 3+ years of varied clinical nursing experience. Licensed Registered Nurse (RN) in the state of Texas with no disciplinary action. Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook.
Associate's Degree in Nursing or Master's Degree in Social Work. Must be licesned. 5 years post-licensure clinical experience. Knowledge of various public and private services available for individuals with mental illness. Must meet all other listed company requriements.
Providing support for CCR nurses and non clinical staff. Applicants must meet the following qualifications: Active, unrestricted physician license. Current board certification in ABMS or AOA specialty. 5+ years of post-residency clinical practice experience.
Must possess a valid nursing license. 5 years recent acute care experience with the last 2 years in a facility environment. 2 years UR/Case Management experience within the last 2 years. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals.