• Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …and national coverage determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered...following review of relevant medical documentation, medical guidelines, and insurance benefits and communicates information to payers in accordance… more
    Houston Methodist (07/12/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Houston, TX)
    **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for...acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company more
    Elevance Health (08/13/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for...a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to… more
    Elevance Health (08/28/25)
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  • Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    ** Nurse Case Manager II** **Work Schedule:...a number of legitimate, non-discriminatory factors set by the company . The company is fully committed to ... an accommodation is granted as required by law. The ** Nurse Case Manager** II is responsible for...are allocable to a particular employee remains in the Company 's sole discretion unless and until paid and may… more
    Elevance Health (08/27/25)
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  • Telephonic Nurse Case Manager II…

    Elevance Health (Houston, TX)
    **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... will drive the future of health care The **Telephonic Nurse Case Manager II** is responsible for...a number of legitimate, non-discriminatory factors set by the company . The company is fully committed to… more
    Elevance Health (08/23/25)
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  • Complex Case Manager RN - GI Nurse

    Highmark Health (Austin, TX)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in health ... the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case more
    Highmark Health (08/27/25)
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  • Nurse Demand Management

    Elevance Health (Grand Prairie, TX)
    ** Nurse Demand Management** **Sign On Bonus:$3,000** Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary ... Sunday 6:30PM - 7AM EST & Friday - Sunday 7PM - 7:30AM EST** The ** Nurse Demand Management** is responsible for telephone triage to assess caller's needs and provide… more
    Elevance Health (08/21/25)
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  • RN Case Manager

    CenterWell (Houston, TX)
    …our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain ... care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require... with 2 years of experience of in home case /care management + Experience working with the adult population… more
    CenterWell (08/29/25)
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  • Registered Nurse , Home Health

    AccentCare, Inc. (Fort Worth, TX)
    …RN / Registered Nurse , Home Health Location: Fort Worth Position: RN Case Manager, Home Health Job ID: 69856 Position Type: Full-Time Remote/Virtual Position: No ... Area: Fort Worth and surrounding Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager Salary: $83,000-$100,000 This position is paid on… more
    AccentCare, Inc. (08/23/25)
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  • RN Case Manager, Home Health

    CenterWell (Abilene, TX)
    …first** Make a meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients regain independence in ... the life they love. As a **Home Health RN Case Manager** , you will: + Provide admission, ...experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification + Strong organizational… more
    CenterWell (08/28/25)
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