• Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
    Houston Methodist (07/12/25)
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  • Clinical Case Manager

    CVS Health (Arlington, TX)
    …and more compassionate. And we do it all with heart, each and every day. ** Clinical Case Manager Behavioral Health** **Position Summary** This is a remote ... Dallas, Texas as well as the surrounding areas. The Clinical Case Manager utilizes advanced...with their provider in healthcare decision-making. + Analyzes all utilization , self-report and clinical data available to… more
    CVS Health (08/01/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... years of hospital clinical nursing experience, which includes three years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/29/25)
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  • Case Manager - UM II -100%

    Healthfirst (TX)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is...medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria + Assessment -… more
    Healthfirst (08/08/25)
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  • Case Manager PRN

    Select Medical (Frisco, TX)
    …products; candidates will need to be comfortable navigating technology. **Benefits of becoming a Case Manager with us:** Westrive to provide our employees with a ... over 50K employees nationwide with advancement and relocation opportunities **Responsibilities** The Case Manager is responsible for the coordination of health… more
    Select Medical (08/08/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
    Houston Methodist (08/08/25)
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  • Case Manager - Registered Nurse

    CVS Health (Austin, TX)
    …states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position...2+ years' experience in critical care + 6+ months case management or utilization management experience +… more
    CVS Health (08/08/25)
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  • Case Manager Certified (4 - 10s:…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
    Houston Methodist (06/28/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Dallas, TX)
    …set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits** Medical City Heart & ... for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications**...8:00am - 4:30pm with rotating weekends *_ Our RN Case Managers raise the bar by providing clinical more
    HCA Healthcare (07/20/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Arlington, TX)
    …us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. **Benefits** Medical City Arlington, ... for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications**...Monday - Friday with some weekends *_ Our RN Case Managers raise the bar by providing clinical more
    HCA Healthcare (07/14/25)
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