• Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret regulatory specifications, explain programs ... as assigned + This position may require same-day out-of-office travel 0 - 80% of the time, depending upon...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
    Molina Healthcare (08/24/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Houston, TX)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... also perform prior authorization reviews and/or related duties as needed . + Processes requests within required timelines. + Refers...+ Adheres to UM policies and procedures. + Occasional travel to other Molina offices or hospitals as requested,… more
    Molina Healthcare (08/20/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Houston, TX)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... also perform prior authorization reviews and/or related duties as needed . + Processes requests within required timelines. + Refers...+ Adheres to UM policies and procedures. + Occasional travel to other Molina offices or hospitals as requested,… more
    Molina Healthcare (08/03/25)
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  • Physician Informatics Advocate Intermediate

    AdventHealth (Killeen, TX)
    …and Providers to achieve outcomes + Basic competency in Microsoft Office Applications + RN - Registered Nurse - State Licensure and/or Compact State ... Technology** **Location-** AdventHealth Central Texas in Killeen, TX, with routine travel to AdventHealth Rollins Brook in Lampasas, TX **All the benefits… more
    AdventHealth (08/07/25)
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