• Care Manager RN PRN

    Baylor Scott & White Health (Round Rock, TX)
    …Baylor Scott & White Hospital,** **300 University Blvd, Round Rock, 78665** **DEPARTMENT: Case Management ** **SHIFT: PRN, weekends and some week days** **About ... position type and/or level **Job Summary** As a Care Manager RN , assess and organize patient care...professional experience. + The applicant should be a licensed Registered Nurse . As a health care system… more
    Baylor Scott & White Health (08/08/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Fort Worth, TX)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in… more
    Molina Healthcare (08/02/25)
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  • Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation… more
    Houston Methodist (07/12/25)
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  • FT Care Manager ER RN

    Community Health Systems (Longview, TX)
    …skills with attention to detail and compliance documentation. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - ER collaborates with the emergency department...on patient records. + Collaborates with ED clinicians, hospitalists, case managers, and social services to support seamless transitions… more
    Community Health Systems (08/08/25)
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  • RN Care Manager Remote with field…

    Molina Healthcare (Austin, TX)
    …State Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN licensure. The candidate should have proficient ... 365 and familiarity with claims is highly preferred. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/08/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …three years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation… more
    Houston Methodist (07/29/25)
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  • Market Case Management Director

    Ascension Health (Austin, TX)
    …FT - M-F Days + **Location:** Ascension Seton Administrative Offices The Regional Case Management Director has the overall responsibility for managing and ... coordinating case management department activities. The Director ensures...prior to hire date or job transfer date. + Registered Nurse credentialed from the Texas Board… more
    Ascension Health (08/08/25)
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  • Field Care Manager , Ltss ( RN )

    Molina Healthcare (Alamo, TX)
    …in the service delivery area of Alamo, TX to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
    Molina Healthcare (08/08/25)
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  • Facilities Care Manager , Ltss ( RN

    Molina Healthcare (San Antonio, TX)
    …to a nursing facility. Preference will be given to RNs who have worked in Facility Case Management with another MCO, but we will also consider RNs who have ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
    Molina Healthcare (07/17/25)
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  • Supervisor Case Management

    HCA Healthcare (Lewisville, TX)
    …work, and assisting with complex cases as needed. **What qualifications you will need:** + ( RN ) Registered Nurse license eligible to practice in the State of ... in their positions. Join our Team as a Supervisor Case Management and access programs to assist...TJC and CMS regulations. It will entail being a Case Manager on the floor with an… more
    HCA Healthcare (07/14/25)
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