• Clinical Reimbursement Manager , RN

    Genesis Healthcare (TX)
    …a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare ... we are dedicated to improving the lives we touch through the delivery of high- quality care and exceptional service. As a leading provider in the long-term care… more
    Genesis Healthcare (05/22/25)
    - Related Jobs
  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/29/25)
    - Related Jobs
  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (Fort Worth, TX)
    compliance . **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... program to review and communicate findings with staff and identify opportunities for improved quality and compliance . + Acts as liaison to both internal and… more
    Molina Healthcare (08/15/25)
    - Related Jobs
  • Quality Assurance RN Coordinator

    Prime Healthcare (Weslaco, TX)
    …referred to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN Coordinator for our Performance ... Overview We are seeking a Quality Assurance RN Coordinator , also...Improvement and Stroke Program monitors and improves stroke care quality by analyzing data, ensuring compliance with… more
    Prime Healthcare (07/31/25)
    - Related Jobs
  • Infusion Suite RN

    Option Care Health (Austin, TX)
    …healthcare. **Job Description Summary:** An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to ... infusion suite, to ensure patient safety with continuity and compliance under a physician's plan of care. Works under...the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with… more
    Option Care Health (07/03/25)
    - Related Jobs
  • Manager , Utilization Management…

    Evolent (Austin, TX)
    …driving results, and collaborating with others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs the ... of project resources. **Qualifications - Required and Preferred** + RN Licenses (Active and Unrestricted) - Required + Associate's...a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA - Preferred.… more
    Evolent (08/14/25)
    - Related Jobs
  • RN Director Emergency Dept

    Community Health Systems (Laredo, TX)
    …to address operational and patient care challenges effectively. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... standards related to emergency services. + Directly manages and supports the Nurse Manager for Professional Development and supervises clinical staff, fostering… more
    Community Health Systems (08/01/25)
    - Related Jobs
  • Perioperative Educator RN

    Catholic Health Initiatives (Houston, TX)
    …devices. **Qualifications** **Minimum Requirements:** **Education and Licensure:** + Bachelor's Degree + Registered Nurse ( RN ) **Minimum Experience:** + Five ... Responsibilities:** + Serve as a clinical resource for continuous compliance + Monitor and evaluate quality of...plans in collaboration with the staff, senior staff and manager + Assists with staffing coverage to ensure delivery… more
    Catholic Health Initiatives (08/11/25)
    - Related Jobs
  • Manager of Nursing Professional Development…

    Baylor Scott & White Health (Lakeway, TX)
    …position type and/or level **Job Summary** You are the Nursing Development Manager . Create, organize, assess education. Keep current with trends. Improve patient, ... and recruit new team members. + You oversee department compliance with regulations and update clinical skills to support...oncology, and heart failure. + You will work with Nurse Heads to create a staff skills method that… more
    Baylor Scott & White Health (07/10/25)
    - Related Jobs
  • Nurse Clinician IV ( RN ) - 4S…

    UTMB Health (League City, TX)
    Nurse Clinician IV ( RN ) - 4S Med/Surg - LCH (Days) **League City, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2503723 ... **REQUIRED EDUCATION & EXPERIENCE:** RN with bachelor's in nursing,...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more
    UTMB Health (07/18/25)
    - Related Jobs