• Utilization Review Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (07/25/25)
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  • Utilization Review Specialist RN…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point ... this position is able to cover a multitude of utilization review functions through point of entry,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (07/29/25)
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  • Licensed Vocational Nurse - CLC-A…

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …Total Rewards of a Allied Health Professional The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) 6 is to perform assigned duties ... an environment committed to serving the veteran. Direct Care Licensed Vocational Nurses assist the Registered Nurse ...understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room… more
    Veterans Affairs, Veterans Health Administration (08/02/25)
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  • Pharmacy Nurse - Licensed Vocational…

    STG International (Temple, TX)
    STGi is currently seeking a Pharmacy Nurse - Licensed Vocational Nurse to provide services at The William R. Courtney Texas State Veterans Home. The William R. ... Comply with all VA reporting per VLB timelines 5. Review RX policy and procedures annually 6. Represent community...Must possess, as a minimum, a license as a Licensed Vocational Nurse . Must have, as a… more
    STG International (07/31/25)
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  • Registered Nurse , Community Living Center…

    Veterans Affairs, Veterans Health Administration (Big Spring, TX)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide competent,… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Nurse Manager - Emergency Department - Days

    AdventHealth (Mansfield, TX)
    …and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors ... programs such as Shared Governance Program, which may include Nurse Advisory Council, Peer Review , Evidence-Based Practice...of a Bachelor's degree program in Nursing. . Currently licensed to practice as a Registered Nurse more
    AdventHealth (08/07/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... For this position we are seeking a (RN) Registered Nurse who must be licensed for the...the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer… more
    Molina Healthcare (08/02/25)
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  • Case Manager Registered Nurse - Specialty…

    CVS Health (Austin, TX)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
    CVS Health (08/10/25)
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  • Nurse Practitioner

    ChenMed (Houston, TX)
    …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...a patient population in collaboration and consultation with a licensed patient care team physician. Practices in accordance with… more
    ChenMed (08/08/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …in Nursing or Nursing Diploma + Bachelor's Degree in Nursing - preferred + Currently licensed as a Registered Nurse in the state(s) of practice according to law ... our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (06/21/25)
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