SanAntonioTXRecruiter Since 2001
the smart solution for San Antonio jobs

RN Utilization review

Company: Christus Health
Location: San Antonio
Posted on: March 28, 2020

Job Description:

Description
The RN Case Manager - Utilization Review effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers to obtain approved certification days. They critically think for appropriateness of care provided the patients within the scope of care of the healthcare center, effectively multitasks the workday, accurately inputs computer info, and successfully accomplishes difficult tasks as assigned Requirements
A.Education/Skills
Graduate of an Registered Nursing Program, Bachelor Degree preferred
Proficient word processing skills in a Windows environment required.
Ability to analyze and create reports and presentations via software applications
Familiarity with MIDAS and Meditech systems preferred.
Bilingual (English/Spanish) preferred. B. Experience
A minimum of 3 years in acute clinical practice as an RN.
Case management/Resource Management and discharge planning experience preferred
Milliman (MCG) Guideline and Interqual criteria experience highly preferred.
Negotiating skills which support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.
Excellent verbal and written communication skills, Knowledge of clinical protocol, normative data and health benefit plans, particularly coverage and limitation clauses.
Ability to manage several projects and cases simultaneously
Basic computer knowledge
Ability to communicate effectively, both verbally and in writing
Knowledge of Meditech, Midas, MCG, Interqual C.Licenses, Registrations, or Certifications
Currently licensed as RN in the State of Texas required
CPR certification preferred
Certification in Case Management preferred

Keywords: Christus Health, San Antonio , RN Utilization review, Healthcare , San Antonio, Texas

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


General Surgery
Description: Position Summary br br Sometimes the only way to diagnose, repair or treat medical problems is through surgery. Specializing in operating room procedures, Surgeons provide critically intricate care (more...)
Company: U.S. Air Force
Location: Austin
Posted on: 04/11/2020

RN - Labor & Delivery - SMCA - Full-Time, Nights
Description: Job Description: We Are Hiring RN - Labor Delivery Full-Time, Night - 7P - 7A Seton Medical Center Austin - Austin,TX Why Join Ascension Ascension Seton, based in Austin, Texas, is a faith-based non-profit (more...)
Company: Ascension, A53
Location: Austin
Posted on: 04/11/2020

Telemetry RN Resident Summer Cohort
Description: Description SHIFT: Nights rotating weekends SCHEDULE: Full-timeSt. David's South Austin Medical Center is part of St. David's HealthCare,one of the largest health systems in Texas, which was recognized (more...)
Company: St. David's South Austin Medical Center
Location: Austin
Posted on: 04/11/2020


Emergency Services Physician
Description: Position Summary br br When Airmen or their families have a medical emergency, time can be of the essence. Focused on immediate decision-making and treatment, Emergency Services Physicians take the (more...)
Company: U.S. Air Force
Location: Austin
Posted on: 04/11/2020

RN - Labor & Delivery - SMCA - Part-Time, Night
Description: We Are Hiring RN - Labor Delivery Part-Time, Night - 7P-7A Seton Medical Center Austin - Austin,TX Why Join Ascension Ascension Seton, based in Austin, Texas, is a faith-based non-profit healthcare (more...)
Company: Ascension, A53
Location: Austin
Posted on: 04/11/2020

RN-Float, Telemetry (Seasonal, Days) - Seton Premiere Staffing
Description: We Are Hiring RN-Float - Nurse Staffing 001 - PRN,Day - Chevy Chase Bldg - Austin,TX3 vacancies working Days at Hays on Telemetry UnitWork three 12-hour shifts per week, every other weekend, and participate (more...)
Company: Ascension, A53
Location: Austin
Posted on: 04/11/2020

Registered Nurse (RN)
Description: Position Overview br br Registered Nurse RN is responsible for providing and documenting skilled nursing care in accordance with the developed care plan and physicians orders for each individual (more...)
Company: Aveanna Healthcare
Location: Austin
Posted on: 04/11/2020

Travel Nurse (RN) ER (Emergency Room)
Description: This is a travel Nurse - ER assignment in Austin, TX, working nights. Don't miss this exciting Emergency Room travel RN job opportunity
Company: Emerald Health Services
Location: Austin
Posted on: 04/11/2020

Staff Nurse (RN)- Per Diem
Description: The Staff Nurse is the leader of the team that is closest to patient care. Team members, such as CCHT's, LVN's, LPN's and EST's look to the Staff Nurse as the leader of their team, their pod. ABOUT SATELLITE (more...)
Company: Satellite Healthcare
Location: Austin
Posted on: 04/11/2020

Intermediate Care RN Resident Summer Cohort
Description: Description SHIFT: Nights rotating weekends SCHEDULE: Full-timeSt. David's South Austin Medical Center is part of St. David's HealthCare,one of the largest health systems in Texas, which was recognized (more...)
Company: St. David's South Austin Medical Center
Location: Austin
Posted on: 04/11/2020

Log In or Create An Account

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

San Antonio RSS job feeds