RowlettRecruiter Since 2001
the smart solution for Rowlett jobs

Utilization Management Coordinator - Registered Nurse (RN)

Company: HCSC
Location: Rowlett
Posted on: April 8, 2021

Job Description:

** Work Schedule for this position **
Tuesday through Saturday OR Wednesday through Sunday
** Hours: 10:00 am to 6:30 pm **

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 OK - Tulsa, MT - Helena, TX - Richardson, IL - Chicago, NM - AlbuquerquePandoLogic. Keywords: Utilization Review Coordinator, Location: Rowlett, TX - 75089

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


Assistant Salon Manager - Kensington Square
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Celina
Posted on: 04/13/2021

Restaurant Shift Manager and Team Lead - Dallas $16.50+
Description: Bringin' It - Together-Teamwork isn't just practiced at the Shack - it's perfected. We make each daygreat - together. We create an exciting work atmosphere with a culture focusedon our
Company: Shake Shack
Location: Dallas
Posted on: 04/13/2021

Infection Prevention Manager, CIC
Description: The Infection Prevention Manager plans, implements manages, and evaluates a comprehensive hospital infection control program under the direction of infectious diseases and the committee on infections. (more...)
Company: Baylor Scott & White Health
Location: Waxahachie
Posted on: 04/13/2021


Sales and Operations Management Trainee
Description: Position Summary: Take charge. Think fast. Move forward. As a Sales and Operations Management Trainee in our fast-paced environment, you will use your hard-earned degree to run a business and quickly (more...)
Company: Penske
Location: Dallas
Posted on: 04/13/2021

Assistant Salon Manager - Frisco Marketplace
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Frisco
Posted on: 04/13/2021

Assistant Salon Manager - The Village of Preston Hollow
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Dallas
Posted on: 04/13/2021

NAS Account Management Specialist - Irving, TX
Description: Company Overview: At ADT Commercial, we are in the business of helping people and organizations to protect what matters most to them. Building upon ADT---s 145-year legacy, we secure the livelihoods and (more...)
Company: ADT Security Services
Location: Newark
Posted on: 04/13/2021

Salon Manager - Frisco Marketplace
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: Anna
Posted on: 04/13/2021

Fleet Equipment Manager
Description: Fleet Equipment Manager About Us At Alliance Radiology, our team members focus on transforming the patient experience and delivering exceptional quality care. Alliance Radiology has rapidly grown over (more...)
Company: Alliance HealthCare Services
Location: Dallas
Posted on: 04/13/2021

Assistant Salon Manager - Pavillion East Center
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Nevada
Posted on: 04/13/2021

Log In or Create An Account

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

Rowlett RSS job feeds