• Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Houston, TX)
    …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
    Immigration and Customs Enforcement (07/16/25)
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  • Clinical Assistant Nurse Manager (O-5…

    Immigration and Customs Enforcement (Houston, TX)
    …(CAD) candidates are not eligible for this position. Responsibilities The assistant nurse manager (Associate Chief, Complex Unit) is stationed at a complex larger ... large enforcement and removal flights with global public health impact. The Assistant Nurse Manager (ANM) works with the facility nurse manager to oversees… more
    Immigration and Customs Enforcement (07/16/25)
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  • Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Pearsall, TX)
    …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
    Immigration and Customs Enforcement (07/02/25)
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  • Pharmacy Nurse - Licensed Vocational…

    STG International (Temple, TX)
    STGi is currently seeking a Pharmacy Nurse -Licensed Vocational Nurse to provide services at The William R. Courtney Texas State Veterans Home. The William R. ... drug regimen and report irregularities to DON 15. Randomly audit drug storage and medical supply areas to ensure...as a minimum, a license as a Licensed Vocational Nurse . Must have, as a minimum, three (3) years'… more
    STG International (07/31/25)
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  • Wellness Nurse LPN LVN

    Sunrise Senior Living (Plano, TX)
    …NAME** Sunrise of Plano **Job ID** 2025-231340 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... time 'noted', and date faxed to pharmacy accurately and promptly. + Complete MAR/TAR audit each month. + Demonstrate and is knowledgeable of the Six (6) Rights of… more
    Sunrise Senior Living (08/02/25)
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  • Utilization Review Nurse - Transition…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... or concerns that may require clinical review during the pre-bill, audit , or appeal process. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies and presents… more
    Houston Methodist (07/25/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will support Medical Review ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (08/02/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare… more
    Molina Healthcare (08/08/25)
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  • Travel - Registered Nurse (RN)

    Health Advocates Network (Eden, TX)
    …$672 M&I 413=$1,085. Total comp $1769.00.00- blended rate: $49.14** The Registered Nurse (RN) plans and provides comprehensive nursing care including, but not ... all provided services are documented. *Closely monitor all potential catastrophic illnesses. * Audit pharmacy use for adherence to formulary, as directed or required.… more
    Health Advocates Network (07/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (08/09/25)
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