• Program Manager , Health Solutions

    ERP International (San Antonio, TX)
    **Overview** ERP International is seeking an experienced **Program Manager (PM) to support ERP's Health Solutions division** with contract and operations ... management . ERP's Clinical Services Division encompasses comprehensive healthcare and...In-processing and onboarding activities + Collaborates with the Recruitment Manager on open positions and staffing activities for assigned… more
    ERP International (08/12/25)
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  • Clinical Manager RN Sign On Bonus

    HCA Healthcare (San Antonio, TX)
    …bonus - up to $10,000 Do you have the career opportunities as a Clinical Manager RN you want with your current employer? We have an exciting opportunity for you ... colleagues. Do you want to work as a Clinical Manager RN where your passion for creating positive patient...performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and… more
    HCA Healthcare (09/19/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Houston, TX)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... **Behavioral Health Care Manager II** **Virtual** : This role enables associates...a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with… more
    Elevance Health (09/26/25)
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  • RN Charge LTAC

    Baylor Scott & White Health (Temple, TX)
    …Kidney Disease (including dialysis), Post-Trauma. **Patient Ratios:** For ICU 2-3 to 1 nurse , Med-Surg 4-5 to 1 nurse with support of non-licensed staff ... of staff and the patients. **JOB SUMMARY** The Registered Nurse (RN) Charge is a licensed professional who uses...Charge is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery… more
    Baylor Scott & White Health (09/26/25)
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  • Therapy Access Manager (AZ/TX/OK/NM)

    United Therapeutics (Fort Worth, TX)
    …awareness during the entire access process which may include formulary coverage/ utilization management criteria, insurance forms & procedures, benefits ... where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be...HCPs on client specific patient service programs (ie copay, nurse education, patient assistance, etc.) + Ability to manage… more
    United Therapeutics (09/06/25)
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  • Accreditation Program Manager - NCQA SME

    Molina Healthcare (Austin, TX)
    …with NCQA file review standards and surveyor interactions. + Experience with conducting Utilization Management and Population Health Management file audits, ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** **Program Oversight & Project Management ** +… more
    Molina Healthcare (09/08/25)
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  • RN - Pre-Surgery Holding PRN

    AdventHealth (Mansfield, TX)
    …except on weekends when not here. Stocks the outpatient rooms daily as evidenced by nurse management . Performs opening or closing of the unit duties daily, as ... a designated time frame utilizing skills, knowledge and the nursing process to ensure the quality of care provided...use of restraints. Reports any safety concerns to Care Manager and Charge Nurse . Functions in a… more
    AdventHealth (09/19/25)
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  • Lactation Support Consultant, PRN (Days)

    Houston Methodist (Houston, TX)
    …functioning as a staff nurse as needed, this position provides professional patient nursing care to a diverse patient population and is considered an expert in a ... childbearing family's educational needs. Maintains an open line of communication with Nurse Director, Clinical Manager and Charge Nurses regarding actual or… more
    Houston Methodist (09/06/25)
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  • Director, Clinical Systems

    Molina Healthcare (Fort Worth, TX)
    …including design, development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and ... clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics...experience in a clinical leadership, clinical systems and/or informatics, utilization management , or care management … more
    Molina Healthcare (10/01/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    …years experience in health care, and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required by state ... supporting one or more of the following functions: care management , utilization management , care transitions,...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
    Molina Healthcare (09/26/25)
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