Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Management Nurse

Texas Children's Hospital

Texas Children’s Hospital is seeking a Utilization Management Clinical Registered Nurse to support precertification of inpatient hospitalizations and outpatient procedures requiring authorization. You will perform telephonic and concurrent review of hospital stays and outpatient treatment. You will analyze requests against clinical guidelines, communicate decisions to providers, and collaborate with the medical director to ensure care meets regulatory standards and patient needs. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse in Bellaire, TX vacancy
  • Harris Health System, Inc. is seeking a Utilization Management Review Nurse to evaluate medical necessity, appropriateness, and efficiency of services, ensuring care aligns with evidence-based guidelines. The role involves partnering with Care Management, Physician Advisors... 
    Suggested
    Remote job
    Flexible hours

    Harris Health System, Inc.

    Bellaire, TX
    2 days ago
  •  ...Utilization Management Review Nurse (UMRN)The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency of the utilization of medical services procedures and facilities. This... 
    Suggested
    Work experience placement
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Harris Health System

    Bellaire, TX
    3 days ago
  •  ...Utilization Management Clinical Registered Nurse We're searching for a Utilization Management Clinical Registered Nurse, someone who works well in a fast-paced setting. In this position, you'll be responsible for providing precertification of inpatient hospitalizations... 
    Suggested
    Local area

    IntelyCare

    Bellaire, TX
    2 days ago
  •  ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned patients...  .../Specialized Training/Licensure: Bachelor's degree in nursing. Current state Registered Nurse License. Work Experience... 
    Suggested
    Contract work
    Work experience placement
    Remote work

    Harris Health System

    Houston, TX
    3 days ago
  •  ...Description Summary: The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness...  ...chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective... 
    Suggested
    Full time

    CHRISTUS Health

    Bellaire, TX
    a month ago
  •  ...Description Summary: The competent Nurse, in the same or similar clinical setting,...  ...to develop the ability to cope with and manage contingencies of clinical nursing. Makes...  ...Standards of Practice, provides nursing care utilizing the nursing process, including assessment... 
    Full time

    CHRISTUS Health

    Houston, TX
    1 day ago
  •  ...Description Summary: The competent Nurse, in the same or similar clinical setting,...  ...to develop the ability to cope with and manage contingencies of clinical nursing. Makes...  ...Standards of Practice, provides nursing care utilizing the nursing process, including assessment... 
    Daily paid
    Full time
    Shift work

    CHRISTUS Health

    Houston, TX
    1 day ago
  •  ...Description Summary: The competent Nurse, in the same or similar clinical setting,...  ...to develop the ability to cope with and manage contingencies of clinical nursing. Makes...  ...Standards of Practice, provides nursing care utilizing the nursing process, including assessment... 
    Daily paid
    Full time
    Shift work

    CHRISTUS Health

    Houston, TX
    4 days ago
  •  ...Description Summary: The competent Nurse, in the Medsurg, Telemetry, and Intermediate...  ...to develop the ability to cope with and manage contingencies of clinical nursing. Makes...  ...of Practice, provides nursing care utilizing the nursing process, including assessment... 
    Daily paid
    Relief
    Local area
    Immediate start
    Shift work

    CHRISTUS Health

    Houston, TX
    18 days ago
  •  ...ASC Registered Nurse (RN) At Houston Methodist, the ASC Registered Nurse (RN) position...  ...medications, performing procedures, and managing emergencies, acting as a patient and...  ...resolve clinical and ethical concerns, utilizing appropriate resources. Provides physical... 
    Permanent employment
    Immediate start

    Houston Methodist

    Bellaire, TX
    4 days ago
  •  ...physician and healthcare team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients,...  ...standards, within budgetary specifications, including time management, supply management, productivity and quality of service.... 
    Full time
    Temporary work
    Night shift

    Memorial Hermann Health System

    Bellaire, TX
    1 day ago
  •  ...positive manner at all times. To act as a resource person to manage and utilize personnel in an effective and appropriate manner, and...  .... Requirements: Graduate of Accredited School of Nursing; current RN License. CPR required. ACLS required. Minimum... 
    Full time
    Local area

    Surgery Partners

    Houston, TX
    4 days ago
  •  ...Kingwood Pines Hospital in the Houston area seeks a Registered Nurse to provide nursing care for psychiatric patients across age groups...  ..., plan care, and evaluate outcomes. Services include milieu management, crisis intervention, and collaboration with an interdisciplinary... 
    Day shift

    Universal Health Services

    Houston, TX
    3 days ago
  •  ...Nurse Clinician, Home DivisionHarris Health is the public healthcare safety-net provider...  ...and primary care, wellness, disease management and population health services. Ben Taub...  ...for management within the Home Division utilizing the appropriate eligibility criteria. The... 
    Work experience placement
    Remote work
    Flexible hours

    Harris Health System

    Bellaire, TX
    3 days ago
  •  ...Surgery, Gynecology, Orthopedic Surgery, Pain Management, Podiatry, Spine, Plastic Surgery,...  ...Ophthalmology. Part-Time PACU Registered Nurse at TOPS Surgical Specialty Hospital 3...  ...rooms, including conscious sedation and utilizing sterile techniques as appropriate. Qualifications... 
    Temporary work
    Part time
    Flexible hours
    3 days per week

    United Surgical Partners

    Houston, TX
    2 days ago
  •  ...Rectal, Neurological, GYN, Oculoplastic, Orthopedic, ENT, Pain Management, Podiatry, General, Plastic & Reconstructive, Urology, Gastroenterology...  .... \n \n Qualifications \n \n \n Must be a Registered Nurse with an unrestricted license in the state \n Must be a... 
    Full time
    Temporary work
    Flexible hours
    Weekend work
    Afternoon shift
    Early shift
    Weekday work

    Memorial Hermann Memorial Village Surgery Center (11031)

    West University Place, TX
    1 day ago
  •  ...Rectal, Neurological, GYN, Oculoplastic, Orthopedic, ENT, Pain Management, Podiatry, General, Plastic & Reconstructive, Urology, Gastroenterology...  .... \n \n Qualifications \n \n \n Must be a Registered Nurse with an unrestricted license in the state \n Must be a... 
    Full time
    Temporary work
    Flexible hours
    Weekend work
    Afternoon shift
    Early shift
    Weekday work

    Memorial Hermann Memorial Village Surgery Center (11031)

    Bunker Hill Village, TX
    1 day ago
  •  ...Willowbrook Hospital (PRN) At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management...  ...Comprehensive knowledge of discharge planning, utilization management, case management, performance... 
    Permanent employment
    Relief
    Work at office
    Local area

    Houston Methodist Willowbrook Hospital

    Houston, TX
    2 hours ago
  •  ...Qualified Registered Nurse (RN) OpportunityWe believe everyone should have confidence in navigating their healthcare. We are looking...  ...serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient... 
    Work at office
    Remote work

    3:15

    Houston, TX
    2 days ago
  •  ...Utilization Review NurseJoin our team at Cobalt Benefits Group and start an exciting new career...  ...solutions. As a Utilization Review Nurse, you'll play an important role in helping...  ...intake staff, physicians, specialists, case managers, and other members of the care team to... 
    Full time
    Temporary work
    Summer holiday
    Work at office
    Flexible hours

    Cobalt Benefits Group

    Houston, TX
    5 days ago
  •  ...Choice Home Care & Hospice in Houston seeks an experienced Utilization Review Nurse (RN) to review clinical documentation, patient plans of care...  ...services. The role focuses on optimizing patient outcomes, managing care utilization, and supporting clinicians in providing... 

    Doctor's Choice Home Care & Hospice

    Houston, TX
    7 hours ago
  •  ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs...  ...candidates bring 2+ years in utilization review or case management, strong clinical knowledge, and proficiency with Microsoft Office... 
    Work at office
    Remote work

    HealthHelp

    Houston, TX
    5 days ago
  •  ...muscle, joints, and blood vessels. Our team manages both benign and malignant...  ...comprehensive, compassionate care. Per Diem Nurse opportunity in the Sarcoma Center. The ideal...  ...members to ensure optimal care and resource utilization. Manages and delivers patient care in... 
    Hourly pay
    Daily paid
    Full time
    Work experience placement
    Local area
    Monday to Friday

    IntelyCare

    Houston, TX
    1 day ago
  •  ...Registered Nurse We are searching for a Registered Nurse for our Surgical/Ortho/Trauma...  ...additional training on how to care and manage these types of patients. The trauma nurse...  ...and ability to acquire new knowledge and utilize new skills needed to improve individual,... 
    Night shift

    Texas Children's Hospital

    Houston, TX
    4 days ago
  • Texas Orthopedic Hospital, a leader in orthopedic care, is seeking a dedicated Registered Nurse for our Pain Management department on a PRN (as-needed) basis. This position offers a unique opportunity to work in a specialized environment focused on bone, joint, and muscle... 
    Relief

    Texas Orthopedic Hospital

    Houston, TX
    12 days ago
  • $47.37 - $57.8 per hour

     ...Job Number: 179871, Job Title: Nurse Clinician-Hospital Home, Salary: $47.37 - $57.80...  ...acute and primary care, wellness, disease management and population health services. Ben Taub...  ...of the eligible HaH patient system-wide utilizing the appropriate eligibility criteria.... 
    Work experience placement
    Remote work
    Flexible hours
    Weekend work

    Harris Health

    Bellaire, TX
    a month ago
  •  ...Emergency Room Nurse Provides professional nursing care for patients in the emergency room. Triages each patient and determines...  ...organizational skills and attention to detail. Excellent time management skills. Strong analytical and problem-solving skills. Basic... 
    Relief
    Local area
    Immediate start
    Flexible hours

    Ally Medical

    Houston, TX
    5 days ago
  • AURA in Bellaire, TX is seeking a compassionate Peritoneal Dialysis Nurse to join our clinical team. You will manage PD treatments (CAPD/APD), educate patients and caregivers on procedures, infection prevention, and home dialysis techniques, and monitor for complications... 
    Flexible hours

    Aura

    Bellaire, TX
    5 days ago
  •  ...and providing corrective measures if necessary* Assessing, monitoring and caring for patients* Communicating with upper management regarding Nurse performance, staff issues and changes to treatment protocols* Creating a yearly budget for nursing staff* Performing administrative... 
    Shift work

    Seven Acres Jewish Senior Care Services, Inc

    Houston, TX
    5 days ago
  • Registered Nurse (RN) - Home Health - PRN Registered Nurse (RN) - Home Health Field-Based | Clinical Autonomy | Advanced Patient Care...  ...- way to practice. You have the opportunity to lead decisions, manage complexity, and help patients recover and thrive in their own environment... 
    Relief
    Flexible hours

    VitalCaring Group

    Missouri City, TX
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Management Nurse. Be the first to apply!