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Remote Rn Coder Texas Jobs
Texas Licensed RN Utilization Review Manager
and coordinate clinical rounds Manage daily operations and ensure compliance with turnaround times for UM processes Company staff development and contribute to departmental goals and initiatives Required Qualifications BSN degree with an active Texas...RN license; MBA, MPH, MHA, or MSN preferred Two years of utilization management experience in a Managed Care environment Two years of supervisory or leadership experience Experience managing 10+ UM RNs and familiarity with Texas Medicaid, CHIP, and
Texas Licensed Utilization Review RN
Assist in discharge planning and coordinate care for hospitalized and medically complex members Maintain knowledge of referral and provider software systems, ensuring accurate processing of authorization requests Required Qualifications Current RN...license in Texas Three years of clinical experience in an acute setting, with three years in Utilization Review/Management Experience with Texas Medicaid, CHIP, and marketplace Proficiency in Microsoft Office (Word, Outlook, Excel)
Texas Licensed Inpatient Coder II
A company is looking for a Coder II (Inpatient) to work remotely with flexible hours. Key Responsibilities Review and interpret Company record documentation for accurate coding and DRG assignment Calculate MS-DRG, Severity of Illness, and Risk of Mortality levels per coding guidelines Collaborate
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New York Licensed Medical Coder
A company is looking for a Sr Certified Medical Coder RN.
RN Clinical Review Nurse
maintains member's clinical information in health management systems Required Qualifications, Training, and Education Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience preferred Active RN...license in Oregon, California, Texas, or Mississippi required Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred
RN Prior Authorization Nurse
pre-certification and concurrent reviews Determine medical necessity of requests by applying medical criteria and guidelines Document and communicate all utilization review activities and outcomes Required Qualifications: Current, unrestricted Texas...RN license or compact license 2+ years of experience in managed care or 5+ years of nursing experience Proficient in PC software skills
RN Prior Authorization Nurse
including pre-certification and concurrent reviews Determine medical necessity of requests by applying medical criteria and guidelines Document and communicate all utilization review activities and outcomes Required Qualifications Current, unrestricted Texas...RN license or compact license 2+ years of experience in managed care or 5+ years of nursing experience Proficient in PC software computer skills
Texas Licensed Lung Transplant RN
Educate patients and families about care plans, procedures, and medications while ensuring effective communication Required Qualifications Associate's Degree in nursing required 3 to 4 years Company/Surgical or Intensive Care experience Current Company...RN license or Nursing Licensure Compact (NLC) required Basic Life Support (BLS) certification required upon hire Bachelor's Degree in Nursing preferred
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