• Utilization Review Specialist RN - FT Days

    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 of entry and ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as… more
    Houston Methodist (07/29/25)
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  • Utilization Review Nurse - Transition…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… more
    Houston Methodist (07/25/25)
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  • Physician

    MTC (Raymondville, TX)
    …rotation. 4. Refer patients for specialty consultations and treatment through the utilization manager process. 5. Utilize established corporate, facility and ... all potential catastrophic illnesses. 9. Implement basic cost containment and utilization management for patient care and facility operations. 10. Comply with… more
    MTC (07/18/25)
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  • Territoy Manager , Surgical Care - Dallas

    ConvaTec (Fort Worth, TX)
    …short of excellence. Join us on our journey to #ForeverCaring as a Territory Manager and you'll do the same. **About the Role:** Reporting to the Regional Sales ... Manager , you will be responsible for driving the commercial...Identify, prioritize, pull-through, and close opportunities. + Ensure effective utilization of the products by all trained Health Care… more
    ConvaTec (08/02/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor. + Communicates with third party payers regarding ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** The Woman's Hospital of Texas,… more
    HCA Healthcare (08/10/25)
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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 patient ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
    Houston Methodist (08/08/25)
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  • Case Manager Certified (4 - 10s: Sunday…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
    Houston Methodist (06/28/25)
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  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical City Dallas, ... for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job Summary and Qualifications**...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
    HCA Healthcare (08/09/25)
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  • Clinical Manager , Home Health

    CenterWell (Longview, TX)
    …of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers.… more
    CenterWell (08/08/25)
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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 care ... care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels… more
    Houston Methodist (08/01/25)
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