• Clinical Appeals Nurse ( RN )

    Molina Healthcare (San Antonio, TX)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (Corpus Christi, TX)
    …internal case management , assisting with hospital discharges, coordinating start-of- care processes, and validating nurse competencies. This position offers ... - $70,000.00 per year Position Details Position: Clinical Supervisor ( RN ) $5,000 SIGN ON BONUS Clinical Case Manager...a caseload of medically fragile patients while ensuring that care delivered by field staff exceeds the Aveanna Clinical… more
    Aveanna Healthcare (09/04/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (San Antonio, TX)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified… more
    Molina Healthcare (09/06/25)
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  • Coord RN (Asc)- Asc PACU

    Kelsey-Seybold Clinic (Houston, TX)
    **Responsibilities** Assists the Supervisor/ Manager with daily clinical operations of the department, in accordance with established Federal, State, accreditation ... regulations and Center policies and procedures. Works with nursing management to oversee clinical and nursing activities such as staffing, ensuring that Policy and… more
    Kelsey-Seybold Clinic (08/14/25)
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  • Nurse Manager of Critical…

    HCA Healthcare (Decatur, TX)
    …our team. **Job Summary and Qualifications** The Registered Nurse Manager is responsible for promoting patient-centered care by coordinating the plan of ... **Description** **Medical City Decatur** Nurse Manager of Critical Care...stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in… more
    HCA Healthcare (08/21/25)
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  • Wound Care Manager

    Catholic Health Initiatives (Pasadena, TX)
    …of care . **Qualifications** Required Education and Experience: *Bachelor's Degree and Registered Nurse Starting in January of 2016, any new hires should ... **Responsibilities** The Manager will have 24 hour accountability for the...24 hour accountability for the inpatient and outpatient Wound Care unit areas. The major responsibilities are in providing… more
    Catholic Health Initiatives (08/30/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and...to demonstrate the knowledge and skills necessary to provide care management services appropriate to the member… more
    Apex Health Solutions (08/24/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...knowledge of discharge planning, utilization management , case management , performance improvement and managed care reimbursement.… more
    Houston Methodist (08/08/25)
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  • Senior LTSS Service Care Manager

    Centene Corporation (Austin, TX)
    …other duties as assigned. + Complies with all policies and standards. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... benefits including a fresh perspective on workplace flexibility. Performs care management duties to assess and coordinate...State Licensure required or + NP - Nurse Practitioner - Current State's Nurse Licensure… more
    Centene Corporation (08/08/25)
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  • Nurse Manager of Cardiac Progressive…

    HCA Healthcare (Denton, TX)
    …and intrinsic worth of each individual is recognized. Submit your application for our Nurse Manager of Cardiac Progressive Care opening with Medical City ... benefits may vary by location._** We are seeking a Nurse Manager of Cardiac Progressive Care...required + Basic Cardiac Life Support certification required + Registered Nurse licensed in the state of… more
    HCA Healthcare (07/14/25)
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