• Utilization Management Nurse

    CenterWell (Austin, TX)
    …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 ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more
    CenterWell (08/02/25)
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  • Care Manager, Telephonic Nurse

    CenterWell (Austin, TX)
    …off-days during the week.** The **Clinical Care Coordinator/Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for patients transitioning ... and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home Health… more
    CenterWell (08/16/25)
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  • Patient Care Technician - PCT Ccht - Dialysis

    Fresenius Medical Center (Houston, TX)
    …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... *Dialysis experience, CCHT Certificate ( **mandatory** ) RN Tuition Assistance Available Low-Cost Benefits (Medical, Dental,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
    Fresenius Medical Center (08/11/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (TX)
    **Job Summary** **_For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more
    Molina Healthcare (08/14/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/08/25)
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  • Advanced Practice Provider - Internal Medicine

    UTMB Health (Galveston, TX)
    …Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP) + Licensed Registered Nurse ( RN ) by the Texas Board of Nursing (TBON) + ... of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)...Licensed Advanced Practice Registered Nurse (APRN) in a … more
    UTMB Health (06/25/25)
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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 ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
    Houston Methodist (08/01/25)
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  • Senior Clinical Policy Research Professional

    Humana (Austin, TX)
    …in Nursing (BSN) or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse ( RN ) license + 5 years or more of prior ... medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical… more
    Humana (08/15/25)
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  • Director - Perioperative Services

    Texas Health Resources (Frisco, TX)
    …or above) Required Perioperative Services Experience Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required Other ... Degree or completing a Masters program Strongly Preferred **Experience** 3 Years Experience as a registered nurse including 1 year in a leadership role (manager… more
    Texas Health Resources (07/30/25)
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  • Director - Perioperative Services

    Texas Health Resources (Flower Mound, TX)
    …role (manager or above) Required OR Experience Strongly Preferred **Licenses and Certifications** RN - Registered Nurse Upon Hire Required Other Certified ... Masters Degree or completing a Masters program Strongly Preferred **Experience** 3 Years Experience as a registered nurse including 1 year in a leadership… more
    Texas Health Resources (07/24/25)
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