• Medical Director - NorthEast Region

    Humana (Austin, TX)
    …in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such as ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management more
    Humana (07/25/25)
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  • Professional Development Generalist - Emergency…

    Houston Methodist (Baytown, TX)
    …the use of technology and simulation, adult learning principles, change management , and evidence-based practice into curriculum development in accordance with ... assessment of educational needs across units/departments by utilizing available data and accreditation recommendations. Collaborates on designing, implementing, and… more
    Houston Methodist (07/02/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Houston, TX)
    …Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/28/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …the course of three years. **This position is fully remote/work from home !** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (06/21/25)
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  • Registered Nurse RN Lactation Consultant

    HCA Healthcare (Houston, TX)
    …will partners with the Clinical Education Market Director to review outcomes data to evaluate and refine aptitude management activities + You will ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/09/25)
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  • Care Manager, Registered Nurse- Remote

    Sharecare (Austin, TX)
    …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by...+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical more
    Sharecare (08/28/25)
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  • Hedis/Quality Improvement RN

    CenterWell (San Antonio, TX)
    …(RN) represents the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance ... The Quality RN Professional is responsible for the development, implementation and management oversight of the Primary Care Organization's Stars Program in the Rio… more
    CenterWell (08/20/25)
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  • Director of Nursing Operations

    HCA Healthcare (San Antonio, TX)
    …strategic and business plans. d) Monitors variance/occurrence reporting of financial and clinical performance data in his/her areas. 3. Works cooperatively with ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/03/25)
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  • RN Supervisor MedSurg Ortho

    HCA Healthcare (Dallas, TX)
    …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (07/14/25)
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  • Surgical ICU Registered Nurse

    HCA Healthcare (San Antonio, TX)
    …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Methodist ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/28/25)
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