• Clinical Reviewer, Nurse - Cardiology

    Evolent (Austin, TX)
    …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... , you will be a key member of the utilization management team. We can offer you a meaningful way...be a Registered Nurse ) - **Required** + You must be… more
    Evolent (09/28/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to… more
    HCA Healthcare (09/27/25)
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  • Cardiopulmonary Clinical Nurse (Pacemaker)

    MD Anderson Cancer Center (Houston, TX)
    …or treatment team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences ... operations. Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers,… more
    MD Anderson Cancer Center (07/10/25)
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  • Senior Network Performance Professional

    Humana (Austin, TX)
    …requiring minimal instructions to achieve solutions. May provide coaching and/or review the work of lower-level associates. Makes decisions on moderately complex ... **Required Qualifications** + Bachelor's Degree in Business, Finance, Health Care/Administration, RN or a related field, or equivalent work experience + Experience… more
    Humana (09/25/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Austin, TX)
    …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... **Required** + None **Preferred** + PA clinical licensure/certifications such as RN , RD, Pharmacist **Language (Other than English):** None **Travel Requirement:**… more
    Highmark Health (08/26/25)
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