• Nurse Appeals - Litigation & Legal…

    Elevance Health (Houston, TX)
    ** Nurse Appeals - Litigation & Legal Support** **In Office Expectation:** This role is **Virtual** ; This role enables associates to work virtually full-time, ... necessary and is dependent on court hearing schedules. The ** Nurse Appeals - Litigation & Legal Support**...would provide an equivalent background. + Current active unrestricted RN license to practice as a health professional within… more
    Elevance Health (12/22/25)
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  • RN Clinical Appeals Nurse…

    Molina Healthcare (San Antonio, TX)
    JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... reviews of previously denied cases in which a formal appeals request has been made or upon request by...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (01/02/26)
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  • Appeals Nurse

    Evolent (Austin, TX)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
    Evolent (12/24/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (Austin, TX)
    …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... organization offering competitive benefits including a fresh perspective on workplace flexibility. ** RN Strongly Preferred - Compact RN License Required** **100%… more
    Centene Corporation (01/07/26)
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  • Care Review Clinician ( RN )

    Molina Healthcare (TX)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/24/25)
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  • Director Care Transition

    Texas Health Resources (Arlington, TX)
    …management growth inclusive of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW ... staff adoption of workplace changes. Directs the activities of the Care Transition Managers ( RN & SW). Serves as a content expert on the following: Compliance with… more
    Texas Health Resources (01/06/26)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... of potential denials and respond appropriately; ie facilitate Physician to Physician appeals when appropriate and assist with construction of appeal letters. +… more
    San Antonio Behavioral Health (11/26/25)
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