• Utilization Review Specialist Nurse…

    Houston Methodist (Houston, TX)
    … functions through point of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is... (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity… more
    Houston Methodist (11/02/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of...of utilization review , compliance with requirements of external review … more
    HCA Healthcare (11/14/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted by a… more
    HCA Healthcare (11/26/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager position and spend more time at...of utilization review , compliance with requirements of external review … more
    HCA Healthcare (11/06/25)
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  • Nurse Manager RN Woman Services

    HCA Healthcare (Tomball, TX)
    …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to...relationships across the hospital** + **Ability to manage multiple concurrent projects and maintain a work pace appropriate to… more
    HCA Healthcare (10/13/25)
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  • Clinical Registered Nurse - Utilization…

    Cognizant (Austin, TX)
    …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization… more
    Cognizant (11/25/25)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Houston, TX)
    …Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with...resource to Hospital and Medical Staff + Responsible for concurrent audits of patient charts. Inputs data for tracking,… more
    HCA Healthcare (10/13/25)
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  • Registered Nurse Case Manager - Utilization…

    Prime Healthcare (Weslaco, TX)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN Compensation + Medical Insurance… more
    Prime Healthcare (11/12/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse... Nurse OR a current Texas Licensed Vocational Nurse . B. Training and Experience: Three years clinical nursing… more
    Medical Center Hospital (10/18/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status...insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use… more
    San Antonio Behavioral Health (11/26/25)
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