• Utilization Review Specialist Nurse | Case

    Houston Methodist (Houston, TX)
    …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of care ... and ensures prompt notification of any denials to the appropriate case manager, denials, and pre-bill team members, as well as management. The URSN position helps… more
    Houston Methodist (08/16/25)
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  • Utilization Review Nurse - Case Management…

    Houston Methodist (The Woodlands, TX)
    …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of care ... and ensures prompt notification of any denials to the appropriate case manager, denials, and pre-bill team members, as well as management. **PEOPLE ESSENTIAL… more
    Houston Methodist (07/12/25)
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  • Case Management Representative

    Houston Methodist (Cypress, TX)
    At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... wide variety of administrative duties of a higher complexity in support of Case Management operations. In addition, the CM Rep position performs independent actions… more
    Houston Methodist (08/16/25)
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  • Case Manager - Certified

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... Provides education to physicians, nurses, and other healthcare providers on case management topics. + Initiates contributions towards improvement of department… more
    Houston Methodist (08/16/25)
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  • Case Manager - UM II -100%

    Healthfirst (TX)
    The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and ... case management as assigned. The Case Manager,...Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State… more
    Healthfirst (08/08/25)
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  • Registered Nurse Case Manager Rehab PRN

    HCA Healthcare (Pasadena, TX)
    …want to join an organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare Southeast, you come first. HCA Healthcare ... have the opportunity to make a difference. We are looking for a dedicated Registered Nurse Case Manager Rehab like you to be a part of our team. **Job Summary and… more
    HCA Healthcare (06/21/25)
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  • Director of Case Management & Social…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case Management & ... the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance consistent… more
    Houston Methodist (08/02/25)
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  • Case Manager - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative… more
    Houston Methodist (08/01/25)
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  • In Home Healthcare LVN - School Case

    Aveanna Healthcare (Andrews, TX)
    In Home Healthcare LVN - School Case ApplyRefer a FriendBack Job Details Requisition #: 200421 Location: Andrews, TX 79714 Category: LPN/LVN Salary: $28.00 - $32.00 ... client/patient. Here are some of the details of this case , more can be discussed by applying or contacting...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/15/25)
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  • School Case : Private Duty Nursing LVN- Low…

    Aveanna Healthcare (Grand Prairie, TX)
    School Case : Private Duty Nursing LVN- Low Acuity ApplyRefer a FriendBack Job Details Requisition #: 201398 Location: Grand Prairie, TX 75052 Category: Nursing ... fragile patient in theschoolsetting. Here are some details of this case : Schedule:7a-7p (3-4 shifts/week) Location/Setting: Argyle, TX 76226 Age Range: Child… more
    Aveanna Healthcare (08/15/25)
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