• RN Coordinator

    HCA Healthcare (Plano, TX)
    …from our multi-generational nursing family. We partner with our Nurses at Medical City Plano! **Job Summary and Qualifications** What you will do in this role: ... We have an exciting opportunity for you to join Medical City Plano which is a part of the...allocation of bed assignments. + You will apply your nursing knowledge derived from education and experience as foundation… more
    HCA Healthcare (09/04/25)
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  • Kidney Transplant Coordinator - Dialysis Center…

    Methodist Health System (Dallas, TX)
    …Week :** M-F **Work Shift :** **Job Description :** Your Job: Professional nursing position for an individual with advanced skills, providing specialized nursing ... teams, community resources, and agencies. Your Job Requirements: * Bachelor of Science Nursing * Current license to practice professional nursing in the state… more
    Methodist Health System (09/02/25)
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  • Unit Secretary

    Prime Healthcare (Mesquite, TX)
    …+ Accurately enter data into hospital computer systems and the QS Electronic Medical Record system while supporting nursing staff with indirect care tasks ... 2. BLS certification within 30 days and maintain current 3. Proficient with medical terminology preferred 4. Proficient with Microsoft Office preferred 5.… more
    Prime Healthcare (08/29/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Fort Worth, TX)
    …Designations and/or licensing including but not limited to Bachelor of Science in Nursing , Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property ... required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries… more
    Sedgwick (09/07/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Austin, TX)
    …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care… more
    Centene Corporation (09/06/25)
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  • Urogynecology APP - Ob/Gyn

    UT Health San Antonio (San Antonio, TX)
    …Department of Obstetrics and Gynecology Urogynecology Advanced Practice Provider Nurse /Certified Physician Assistant We are seeking an Advance Practice Provider ... Long School of Medicine at UT Health-San Antonio. Our Obstetrics and Gynecology medical team provides inpatient and outpatient services to San Antonio and the South… more
    UT Health San Antonio (09/04/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Austin, TX)
    …Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and… more
    Highmark Health (07/04/25)
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  • Utilization Management Administration Coordinator…

    Humana (Austin, TX)
    …treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in the Home Solutions organization and ... Onehome. + Manages NLP's for chart reviews for the nursing team + Builds and pends authorizations for review...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
    Humana (08/23/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …documentation and coding deficiencies or gaps. Identifies trends and provides feedback to medical staff, coders, and management. * Acts as a knowledge expert to ... ( CDI ) activities, processes, and procedures. * Provides education for medical student and resident orientation/development and other times as necessary. * Presents… more
    University of Texas Rio Grande Valley (06/25/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Houston, TX)
    …details to be discussed during our interview process. Remote position - Home office with internet connectivity of high speed required **.** Work hours: Monday - ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
    Molina Healthcare (08/16/25)
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