• Utilization Management Nurse

    CenterWell (Austin, TX)
    …years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional ... caring community and help us put health first** Conviva Care Solutions is seeking a RN who...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (11/22/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + ... their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health … more
    CenterWell (11/13/25)
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  • RN Charge Day Surgery FT Days

    Baylor Scott & White Health (Frisco, TX)
    …level of care to the rapidly growing North Texas area!** **JOB SUMMARY** The Registered Nurse ( RN ) Charge is a licensed professional who uses the BSWH ... coordinate patient care delivery by the health care team. In the capacity of Charge Nurse...- 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) & Basic… more
    Baylor Scott & White Health (11/15/25)
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  • OR RN Charge

    Baylor Scott & White Health (Buda, TX)
    …will be evenly distributed among the team. **JOB SUMMARY** The Operating Room (OR) Registered Nurse ( RN ) Charge is a licensed professional who uses ... coordinate patient care delivery by the health care team. In the capacity of Charge Nurse...- 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) & Basic… more
    Baylor Scott & White Health (10/15/25)
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  • Hospice RN Administrator

    Gentiva (San Angelo, TX)
    …team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care , home health, or clinical operations ... you're a natural leader who is passionate about patient-centered care , team development, and clinical excellence, we invite you...+ We maintain a drug-free workplace Related Job Titles RN Branch Director, RN Branch Manager… more
    Gentiva (10/17/25)
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  • RN Case Manager

    Erickson Living (Dallas, TX)
    …Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior Living) that ... and selects care options as appropriate. The nurse care coordinator may utilize a range...team. What you will need + Active Professional Licensed RN required. CCM certification or working toward. + Minimum… more
    Erickson Living (11/15/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to… more
    Molina Healthcare (11/14/25)
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  • Case Manager Certified - Transition…

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of ... criteria to monitor appropriateness of admissions, level of care , resource utilization , and continued stay. Reviews...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (10/11/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Rockwall, TX)
    …supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs. + The RN has overall responsibility ... **LTSS Service Coordinator - RN ** **Location:** The location for this position is...services. + May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization … more
    Elevance Health (11/22/25)
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  • RN PRN PCU/MS Days or Nights

    AdventHealth (Burleson, TX)
    …vacation during commitment period. No approved time off during holiday weeks. Must provide manager 4 weeks notice for vacation requests. ** RN Tier 4 CSO PRN** ... low-cost of living. **The role you'll contribute:** The Staff RN coordinates the care and service of...patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources;… more
    AdventHealth (11/13/25)
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