• Registered Nurse Quality & Patient Safety Nurse…

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management , Nurse Case Manager /Caseworker, and/or ... Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (07/16/25)
    - Related Jobs
  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management , Nurse Case Manager /Caseworker, Patient ... Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (07/21/25)
    - Related Jobs
  • Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …and eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and ... coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
    Houston Methodist (07/12/25)
    - Related Jobs
  • Manager - Case Management

    Houston Methodist (Sugar Land, TX)
    …(MSW) + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or ... At Houston Methodist, the Manager Case Mgmt Social Svcs position...operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to… more
    Houston Methodist (07/24/25)
    - Related Jobs
  • Pharmacist, Utilization Management

    Molina Healthcare (Fort Worth, TX)
    …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
    Molina Healthcare (07/27/25)
    - Related Jobs
  • Nurse Manager of Case

    HCA Healthcare (Frisco, TX)
    …sites of care in 21 states and the United Kingdom. We are looking for a Nurse Manager of Case Management for our Medical City Frisco team where excellence ... be an influencer in healthcare? **Apply for our Nurse Manager of Case Management role...projects. + Works cooperatively with physicians to achieve the utilization of the case management more
    HCA Healthcare (07/14/25)
    - Related Jobs
  • RN Manager Case Management

    HCA Healthcare (El Paso, TX)
    **Description** **Introduction** We are seeking a(an) RN Manager Case Management with Del Sol Medical Center to promote growth and unlock possibilities. At ... may vary by location._** We are seeking a(an) RN Manager Case Management for our...as needed + You will complete accurate and timely utilization review of patient charts to insure appropriate … more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Case Manager (RN) - PRN Days

    Houston Methodist (Sugar Land, TX)
    …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... At Houston Methodist, the Case Manager PRN (CM) position is...a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population… more
    Houston Methodist (05/25/25)
    - Related Jobs
  • Certified Case Manager

    Houston Methodist (Cypress, TX)
    …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... At Houston Methodist, the Case Manager (CM) Certified position is...a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population… more
    Houston Methodist (07/26/25)
    - Related Jobs
  • Registered Nurse RN Case Manager PRN

    HCA Healthcare (Webster, TX)
    …**Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? We have an ... be scheduled for primarily weekend shifts. For candidates w/no Case Management experience, 6 weeks of training...you want to work as a(an) Registered Nurse RN Case Manager PRN where your passion for… more
    HCA Healthcare (07/23/25)
    - Related Jobs