Top 1324 Clinical nurse coordinator Jobs in Texas

Utilization Management Nurse
TEXAS INDEPENDENCE HEALTH PLAN INC —Austin, TX
- Weekends as needed
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Clinical Educator – Intra-operative
Texas Health Resources —Dallas, TX
- $94,140.80 - $146,390.00 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Communications Coordinator - Transplant
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- RN License
Registered Nurse Med-Surg Clinical Coordinator
St. David's Medical Center —Austin, TX
- Full-time
- Surgery
- Mid-level
- 3 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
Registered Nurse - Clinical Support Coordinator
Medical City Fort Worth —Fort Worth, TX
- Full-time
- Mid-level
- Medical-Surgical
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Utilization Management Registered Nurse
Humana —Texas
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Primary Nurse Case Admin 1 - Work From Home
Health Care Service Corporation —Richardson, TX
- $61,500 - $136,100 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Work from home
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Texas
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Nurse- Activations Coordinator
US Veterans Health Administration —Temple, TX
- $79,295 - $139,966 a year
- 8 hour shift
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
7d
Clinical Nurse Coordinator-Transplant (Central Region)
Natera —Dallas, TX
- $115,400 - $144,200 a year
- Nursing
- Up to 50% travel
- RN License
- Commuter assistance
- Health insurance
Clinical Nurse Coordinator Wound and Burn PCU
Methodist Hospital —San Antonio, TX
- Full-time
- Mid-level
- 1 year
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Coordinator - Kelsey Seybold Clinic: The Vintage
UnitedHealth Group —Houston, TX
- $35 - $63 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
Registered Nurse Coordinator -Orthopedics | Kelsey Seybold Clinic: Memorial Villages
UnitedHealth Group —Houston, TX
- $35.00 - $62.50 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
Clinical Coord RN
Baylor Scott & White Health —McKinney, TX
- Nursing
- Management
- RN License
- Health insurance
- Tuition reimbursement
Nurse Educator, RN
Eagle's Trace by Erickson Senior Living —Houston, TX
- From $96,000 a year
- 18 years or older
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
6d
Registered Nurse Coordinator I
Eastside Research Associates —Midland, TX
- $42 - $52 an hour
- Full-time
- Nursing
- Vital signs
- RN License
- Health savings account
- Health insurance
Care Coordinator RN
Baylor St Luke's Medical Center —Houston, TX
- $43.10 - $64.11 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
8d
RN - Clinical Coordinator (Anesthesia Clinic)
Memorial Hermann Health System —Houston, TX
- Full-time
- Nursing
- RN License
- BLS Certification
RN Program Coordinator - Genetics
UT Southwestern —Dallas, TX
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Paid holidays
6d
Care Coordinator RN
Children's Health —Dallas, TX
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Health insurance

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clinical nurse coordinator jobs near texas

Utilization Management Nurse

TEXAS INDEPENDENCE HEALTH PLAN INC -
Austin, TX

Quick Apply

Job Details

Full-time

Qualifications

Nursing
Microsoft Excel
Microsoft Outlook
Medicare
LVN
RN License
Managed care organization experience
Word embeddings
Medicaid health insurance
Utilization management
Resource utilization in healthcare
Acute care experience

Full Job Description

Primary Responsibilities

The Utilization Management Nurse will determine the medical appropriateness of inpatient and outpatient services by evaluating medical guidelines, benefit determination and compliance with state mandated regulations.

Essential Functions

Perform concurrent, retroactive and pre-service authorization reviews for inpatient and outpatient services.
Follow and maintain compliance with CMS requirements, may include after-hours, holiday and weekend coverage.
Collaborate with staff, physicians, care/service coordinators, and medical directors to coordinate and provide the level of care necessary to meet member’s health need.

Educational/Training Requirements

Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience.
Payor Utilization Management: 3 years recommended experience
Proficiency with Microsoft Office applications, specifically Word, Excel, and Outlook
Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria.

Licensing Requirements

Current unencumbered LVN or RN license in Texas or compact license.

Experience Requirements

2+ years Utilization management experience with a health insurance company (managed care/payer experience required).
UM for Medicare Advantage, Managed Medicaid, Dual SNP Lines of Business, on the payer side.
5+ years of acute clinical experience.
The ability to effect change, perform critical analyses, promote positive outcomes, and facilitate empowerment for members/families.

Location

This position is remote, but requires the employee to live within our service area which can include any of the following areas within Texas: Rio Grande Valley, DFW, greater Austin, greater Houston, greater San Antonio, Coastal Bend, or Laredo.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Location: Hybrid remote in Austin, TX 78789

Quick Apply

Refine Your Search

clinical nurse coordinator jobs in texas

Utilization Management Nurse

Clinical Educator – Intra-operative

RN Clinical Communications Coordinator - Transplant

Registered Nurse Med-Surg Clinical Coordinator

Registered Nurse - Clinical Support Coordinator

Utilization Management Registered Nurse

Primary Nurse Case Admin 1 - Work From Home

Case Manager, Registered Nurse (Oncology experience required)

Nurse- Activations Coordinator

Clinical Nurse Coordinator-Transplant (Central Region)

Clinical Nurse Coordinator Wound and Burn PCU

RN Coordinator - Kelsey Seybold Clinic: The Vintage

Registered Nurse Coordinator -Orthopedics | Kelsey Seybold Clinic: Memorial Villages

Clinical Coord RN

Nurse Educator, RN

Registered Nurse Coordinator I

Care Coordinator RN

RN - Clinical Coordinator (Anesthesia Clinic)

RN Program Coordinator - Genetics

Care Coordinator RN

I want to receive the latest job alert for clinical nurse coordinator in texas

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