• Nurse Navigator - Cath Lab

    Houston Methodist (Cypress, TX)
    …practice and improvement opportunities, coordinating program education and serving as a clinical resource for both program and hospital staff. **PEOPLE ESSENTIAL ... patient flow for service line patients. Serves as a clinical resource for complex and/or highly specialized...PREFERRED** + Magnet - ANCC Recognized Certification (ANCC) -- Case Management related **OR** + ACM -… more
    Houston Methodist (09/05/25)
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  • Medical Director - (Pain Management SME)

    CVS Health (Austin, TX)
    …You will lead all aspects of utilization review/quality assurance, directing case management . In this role you will provide clinical expertise and business ... direction in support of medical management programs through participation in clinical team...time off, flexible work schedules, family leave, dependent care resources , colleague assistance programs, tuition assistance, retiree medical access… more
    CVS Health (09/06/25)
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  • Manager of Trauma Services

    HCA Healthcare (Decatur, TX)
    …the continuum of trauma care, including the planning and implementation of clinical protocols and practice management guidelines, monitoring of in-hospital ... patients, and serving as a resource for clinical practice. + Serves as...with the coordination and implementation of the Trauma Quality Management Plan. Monitors clinical processes, outcomes, and… more
    HCA Healthcare (09/06/25)
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  • Care Management Associate

    CVS Health (Arlington, TX)
    …of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... resolution of claims payment issues -Supports the administration of the hospital care, case management and quality management processes in compliance with… more
    CVS Health (09/06/25)
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  • Transfer Center Point of Entry Nurse - Mid Shift

    Houston Methodist (Houston, TX)
    …with clinical staff and interprofessional health care team to ensure resource utilization is appropriate to the patient's clinical needs and within ... covered benefits. This position ensures a compassionate, integrated, multi-disciplinary case approach which supports health caregivers to provide the highest… more
    Houston Methodist (07/21/25)
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  • Care Management Coordinator

    Covenant Health (Lubbock, TX)
    Management Coordinator provides essential clerical support for the Care Management Department. Under the supervision of licensed clinical staff, ... advancement. **Requsition ID:** 385100 **Company:** Covenant Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job Schedule:** Full time… more
    Covenant Health (09/03/25)
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  • Senior LTSS Service Care Manager, RN

    Centene Corporation (Austin, TX)
    …ICU, (MSICU), Med/Surg, Internal Medicine, LTC, SNF, or Nursing Rehab + RN Case Management and/or RN Care Coordination with medical services/DME for adult ... care management team to identify providers, specialists, and/or community resources needed to address member's needs + Coordinates and manages as appropriate… more
    Centene Corporation (07/31/25)
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  • Charge Nurse - Operating Room - Weekends

    Houston Methodist (The Woodlands, TX)
    …assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit ... at the Competent to Proficient stage of Benner's model of clinical practice. This position coordinates interdepartmental communication with all those involved… more
    Houston Methodist (07/31/25)
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  • Domestic Abuse Victim Advocate

    Chenega Corporation (Goodfellow AFB, TX)
    …their identified needs (eg, emergency shelter, housing, childcare, legal services, clinical resources , medical services, transitional compensation). + Offers ... + Provide information and referral on military and civilian resources . + Advises victims of the impact of domestic...Briefs the treatment/ case manager prior to the Clinical Case Staffing (CCS) so that the… more
    Chenega Corporation (08/19/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Austin, TX)
    …of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be ... grow. **Key Qualifications** **Required** + 8+ years of product management experience in healthcare, including ownership of clinical...from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case more
    Datavant (08/08/25)
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