RowlettRecruiter Since 2001
the smart solution for Rowlett jobs

Utilization Management Coordinator - Registered Nurse (RN)

Company: HCSC
Location: Rowlett
Posted on: April 2, 2021

Job Description:

** Work schedule can be: Tuesday through Saturday or Sunday through Thursday **

BASIC FUNCTION:
This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and non-clinical data, verifies eligibility, determines benefit levels in accordance to contract guidelines, prepares reports on quality of care, identifies and reports cases, and provides information regarding utilization management requirements and operational procedures to members, providers and facilities. This position will be engaged with Utilization Management Review.

JOB REQUIREMENTS:
*Registered Nurse (RN) with valid, current, unrestricted license in The State of Texas.
*3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
*Knowledge of medical terminology and procedures.
*Verbal and written communication skills.
*Willingness and ability to travel, on a rare occasion, if needed.

PREFERRED JOB REQUIREMENTS:
* 2+ years of Utilization Management experience is preferred.
* 3 years of clinical experience in various environments including: acute hospital setting, physician office, LTACH/SNF, home health, surgical setting or health care insurance company.
* In-patient nursing experience.
* Specialty RN experience - Oncology, NICU, O/R, Cardio, etc. - a variety of clinical experience is preferred - NOT limited to NICU or Maternal Health
* Intensive Care and/or Critical Care experience is preferred.
* Case Management, Care Management, Condition Management and/or Disease Management experience is a plus.
* MCG Certification is a plus.

*CA

#LI-DP1

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements:
Expertise Nursing Job Type Full-Time Regular Location TX - RichardsonPandoLogic. Keywords: Utilization Review Coordinator, Location: Rowlett, TX - 75030

Keywords: HCSC, Rowlett , Utilization Management Coordinator - Registered Nurse (RN), Executive , Rowlett, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Salon Manager - Legacy Center
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Sanger
Posted on: 04/14/2021

Salon Manager - Chapel Hill
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Crowley
Posted on: 04/14/2021

Physician - Medical Director
Description: Medical Director opening in Duncanville, Texas. This and other physician jobs brought to you by DocCafe.com Hiring
Company: Samuel Contract Staffing
Location: Duncanville
Posted on: 04/14/2021


Salon Manager - Firewheel Market
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Royse City
Posted on: 04/14/2021

Veterans Preferred - Strategic Account Manager
Description: Military Veterans are Encouraged to Apply. Develop, manage and grow partnerships with assigned IDNs. Responsible for overall business volume, equipment orders and revenue within assigned strategic accounts. (more...)
Company: Canon Medical Systems
Location: Dallas
Posted on: 04/14/2021

Shift Manager
Description: The Job: As a SONIC Drive-In Shift Manager, you are responsible for assisting the General Manager and Assistant General Manager in managing the daily operations of the restaurant to provide quality food (more...)
Company: Sonic
Location: Azle
Posted on: 04/14/2021

Salon Manager - Custer Star
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Frisco
Posted on: 04/14/2021

Veterans Preferred - Key Account Manager
Description: Military Veterans are Encouraged to Apply. PRIMARY PURPOSE: The Key Account Manager manages business development activities for the company driving sales activities and the acquisition of new business (more...)
Company: United Site Services
Location: Dallas
Posted on: 04/14/2021

Service Manager Rusty Taco
Description: At Rusty Taco, we believe in simple, real food, that is easy to prepare, uses only fresh ingredients and tastes great. We are authentic in all that we do - from our menu to our ingredients, to our service (more...)
Company: Rusty Taco
Location: Dallas
Posted on: 04/14/2021

Director, Value-Based Care Analytics
Description: Reporting to the Vice President of Strategic Analytics, the Director of Value-Based Care Analytics will lead strategic value-based care analytics work focused on contract and network performance, cost (more...)
Company: Baylor Scott & White Health
Location: Dallas
Posted on: 04/14/2021

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Rowlett RSS job feeds