Top 5 Utilization review nurse Jobs in Tyler, Tx

Staff Nurse Outpatient Clinic PHP/IOP CCT
Carrus Health —Tyler, TX
- RN License
- Computer literacy
- BLS Certification
Quick Apply
RN Clinical Care Manager
Angels of Care Pediatric Home Health —Tyler, TX
- Full-time
- Nursing
- Management
- RN License
- Health insurance
- Dental insurance
Quick Apply
10h
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
12d

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Care Manager LSW- PRN
Longview Regional Medical Center —Longview, TX
Knowledge of federal, state, and Joint Commission standards related to case management. This role involves collaborating with interdisciplinary teams, reviewing…
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Staff Nurse Outpatient Clinic PHP/IOP CCT
Carrus Health —Tyler, TX
Current state Registered Nurse license is required. BLS certification is required upon hire. Responsible for analyzing records to determine legitimacy of…
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
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utilization review nurse jobs near tyler, tx

Staff Nurse Outpatient Clinic PHP/IOP CCT

Carrus Health
Tyler, TX

Quick Apply

Job Details

Qualifications

Computer operation
RN License
Computer literacy
BLS Certification
English
Computer skills

Full Job Description

Carrus Care is a mental health facility that is designed to allow children to tend to their mental health needs and complete their schoolwork onsite with the licensed treatment team ensuring success both in the classroom and personally.

ESSENTIAL FUNCTIONS:
Responsible for coordinating and monitoring day-to-day operations of the utilization management program for the outpatient clinic.

Directs the activities necessary to ensure appropriate utilization of the clinic and its resources while maintaining optimal achievable standards of patient care.

Responsible for analyzing records to determine legitimacy of patient continued stay by performing concurrent reviews.

Participates in treatment team meetings to report said legitimacy to physicians and team members.

Reports to work in a timely manner and adheres to policies, procedures, and processes.

Performs other job duties as needed and/or as assigned.

QUALIFICATIONS:
Three to five years of management experience is preferred.

Two years’ experience in psychiatric setting is preferred.

Requires good computer skills.

Must be able to effectively communicate in English via verbal and written means.

LICENSE AND CERTIFICATION:
Current state Registered Nurse license is required.

BLS certification is required upon hire.

De-escalation training is required within 30 days of hire.

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utilization review nurse jobs in tyler, tx

Staff Nurse Outpatient Clinic PHP/IOP CCT

RN Clinical Care Manager

Appeals Professional III (Licensed Clinician)

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