• Utilization Review Specialist…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point ... this position is able to cover a multitude of utilization review functions through point of entry,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (07/29/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
    Houston Methodist (07/31/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, 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 they...the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer… more
    Molina Healthcare (08/02/25)
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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 (07/31/25)
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  • Occupational Health RN PRN (Flu Vaccination…

    Houston Methodist (Sugar Land, TX)
    …Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills ... At Houston Methodist, the Occupational Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of… more
    Houston Methodist (07/25/25)
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  • Pharmacy Nurse - Licensed Vocational…

    STG International (Temple, TX)
    …any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service ... STGi is currently seeking a Pharmacy Nurse -Licensed Vocational Nurse to provide services...Comply with all VA reporting per VLB timelines 5. Review RX policy and procedures annually 6. Represent community… more
    STG International (07/31/25)
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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 Sign On Bonus

    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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