• Regency Integrated Health Services (Cuero, TX)
    …Rehabilitation Center - Cuero, TX Position Type Full Time Job Category Nurse Description Primary Responsibilities Responsible for the coordination of the Resident ... and benefit period through regular communications with Regional Care Management Specialist , Business Office and external Case Managers. Gathers information needed… more
    Upward (07/13/25)
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  • Clinical Documentation Specialist

    Houston Methodist (Houston, TX)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
    Houston Methodist (05/01/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (TX)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... _For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of...Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more
    Molina Healthcare (07/20/25)
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  • Occupational Health RN PRN (Flu Vaccination…

    Houston Methodist (Nassau Bay, TX)
    …Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills ... administering the flu vaccine.** At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care… more
    Houston Methodist (07/18/25)
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  • Occupational Health RN PRN - Temporary Flu…

    Houston Methodist (Houston, TX)
    …Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills ... Enterprise Health and Epic.** At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care… more
    Houston Methodist (07/12/25)
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  • Clinical Manager RN

    HCA Healthcare (San Antonio, TX)
    …to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with ... medical necessity, homebound status, visit utilization , and documentation of individualized patient assessment and transition (discharge) planning.Reviews agency… more
    HCA Healthcare (06/21/25)
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