• Case Manager- Registered Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements +… more
    Houston Methodist (11/15/25)
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  • Clinical Registered Nurse…

    Cognizant (Austin, TX)
    …expectations. **What you need to have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...on the review of clinical documentation in accordance with Medicare , Medicaid , and third-party guidelines. + Effectively… more
    Cognizant (12/23/25)
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  • Remote Hospice Triage Registered…

    Elara Caring (Dallas, TX)
    …at the Right Time, in the Right Place. **Job Description:** **_Remote Hospice Triage Registered Nurse ( RN )_** **Schedule:** **Every Saturday & Sunday | 9:00 ... State (in green below)** **Elara Caring** is seeking an experienced **Hospice Triage Registered Nurse ** to join our expanding remote care team. This weekend-only… more
    Elara Caring (12/30/25)
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  • Patient Advocate, Registered Nurse…

    Texas Health Resources (Plano, TX)
    …Strong professional writing skills * Experience working in the full suite of Microsoft * RN - Registered Nurse upon hire required * Excellent interpersonal ... Patient Advocate, Registered Nurse Bring your passion to...departments. * Maintain compliance with the CMS Centers for Medicare and Medicaid Services Conditions of Participation,… more
    Texas Health Resources (12/31/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Austin, TX)
    …an impact** **Use your skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare / Medicaid Experience a plus + Call center… more
    Humana (12/12/25)
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  • Utilization Review Specialist Nurse…

    Houston Methodist (Houston, TX)
    …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...local and national coverage determinations + Comprehensive knowledge of Medicare , Medicaid , and Managed Care requirements +… more
    Houston Methodist (11/02/25)
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  • RN Administrator Home Health

    Elara Caring (Dallas, TX)
    …Current State License as required by state or federal guidance + Licensed physician, registered nurse or holds an undergraduate degree + 3+ years healthcare ... branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid , and third-party reimbursement regulations and changes. Identifies and… more
    Elara Caring (12/24/25)
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  • Senior Hospice Patient Care RN Manager

    Gentiva (Athens, TX)
    … Medicaid , JCAHO, ACHC **About You** **Qualifications - What You'll Bring:** + Current Registered Nurse ( RN ) license in the state of employment + Graduate ... Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly to the Executive Director… more
    Gentiva (11/12/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare / Medicaid Experience a plus + Current nursing ... and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed… more
    CenterWell (11/13/25)
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  • Registered Nurse II

    HCA Healthcare (Jourdanton, TX)
    …student loan repayment. We would love to talk to you about this fantastic opportunity. Registered Nurse ( RN ) is the patient and patient's family advocate. ... RN License to practice as a professional registered nurse in the state of Texas...as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its… more
    HCA Healthcare (12/28/25)
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