• Clinical Reviewer , Nurse

    Evolent (Austin, TX)
    …Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. We ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
    Evolent (08/19/25)
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  • Clinical Reviewer , Nurse -Surgery

    Evolent (Austin, TX)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
    Evolent (08/19/25)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Houston, TX)
    …you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... our colleagues in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage of your career.… more
    HCA Healthcare (08/19/25)
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  • Utilization Review Nurse - PRN

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (08/20/25)
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  • Care Review Clinician, Prior Auth (RN) Pega…

    Molina Healthcare (Houston, TX)
    …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
    Molina Healthcare (07/12/25)
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  • Licensed Vocational Nurse - Community…

    Veterans Affairs, Veterans Health Administration (Big Spring, TX)
    …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... This position reports to the Community Living Center (CLC) Nurse Manager and is under Extended Care Nursing Service...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… more
    Veterans Affairs, Veterans Health Administration (07/02/25)
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  • Registered Nurse - Special Procedures…

    Veterans Affairs, Veterans Health Administration (Austin, TX)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... evidence-based-practice culture. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential… more
    Veterans Affairs, Veterans Health Administration (08/22/25)
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  • HCSS Sexual Assault Nurse Examiner…

    UTMB Health (Galveston, TX)
    HCSS Sexual Assault Nurse Examiner (Registered Nurse ) **Galveston, Texas, United States** **New** 1 additional location United States Nursing & Care Management ... Office of the Attorney General of Texas (OAG) requirements for Sexual Assault Nurse Examiner (SANE) certification and re-certification + Submit paperwork to the OAG… more
    UTMB Health (08/16/25)
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  • Registered Nurse - Mental Health Intensive…

    Veterans Affairs, Veterans Health Administration (El Paso, TX)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Registered Nurse - Mental Health Intensive Case Management(MHICM) position is...VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are… more
    Veterans Affairs, Veterans Health Administration (08/15/25)
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  • Nurse Manager - Emergency Department - Days

    AdventHealth (Mansfield, TX)
    …and/or coordinates programs such as Shared Governance Program, which may include Nurse Advisory Council, Peer Review , Evidence-Based Practice (EBP), and ... mirror peak census times with a high focus on nurse leader visits on days and nights. Discuss further...career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to… more
    AdventHealth (08/07/25)
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