• Medical Director (Marketplace)

    Molina Healthcare (Austin, TX)
    …(QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA ... + Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality , cost-efficiency, and… more
    Molina Healthcare (08/28/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …Experience with data reporting, analysis, and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License (RN may be preferred for ... & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business ( Medicare more
    Molina Healthcare (08/24/25)
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  • Director of Case Management & Social…

    Houston Methodist (Houston, TX)
    …discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + ... At Houston Methodist, the Director Case Management & Social Services RN position is responsible...interprofessional role which supports caregivers to provide the highest quality , most clinically appropriate care to patients while promoting… more
    Houston Methodist (08/02/25)
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  • Case Management Assistant

    HCA Healthcare (Austin, TX)
    …the highest and most prestigious distinction a healthcare organization can achieve for nursing practice and quality patient care. HCA Healthcare has been ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Case Management Assistant with St. David's Medical Center you can be a part of… more
    HCA Healthcare (08/31/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Cypress, TX)
    …a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated unit(s) and/or service ... assistance from the physician advisor, if needed, and informs management of the possible need for issuing Medicare...nursing experience which includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN -… more
    Houston Methodist (08/27/25)
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  • APC - Allergy

    Kelsey-Seybold Clinic (Spring, TX)
    **Job Summary:** The Physician Assistant (PA) or Nurse Practitioner (NP) in the Allergy Department will work under the guidance of the Chief of the department to ... deliver high- quality , patient-centered care. The PA/NP will conduct comprehensive patient...the provider's practice and provides health education information. + Management of Information: Accurately documents and communicates to appropriate… more
    Kelsey-Seybold Clinic (07/06/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Mesquite, TX)
    …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient… more
    Fresenius Medical Center (09/02/25)
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  • RN Lead, HCS (Clinical) Remote with field travel…

    Molina Healthcare (Fort Worth, TX)
    …**Preferred Experience** 3-5 years clinical practice with managed care, hospital nursing , utilization and/or care management experience. **Preferred License, ... to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based...the health plan HCS Department staff. Consults with the Management of HCS to devise and implement corrective action… more
    Molina Healthcare (08/15/25)
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  • Director - Perioperative Services

    Texas Health Resources (Frisco, TX)
    …conduct mutual problem-solving. Promote understanding and effective use of organization management and nursing theories and research. Demonstrate ethical ... Services Experience Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required Other Certified in nursing more
    Texas Health Resources (07/30/25)
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  • Director - Perioperative Services

    Texas Health Resources (Flower Mound, TX)
    …conduct mutual problem-solving. Promote understanding and effective use of organization management and nursing theories and research. Demonstrate ethical ... OR Experience Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required Other Certified in nursing administration/clinical… more
    Texas Health Resources (07/24/25)
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