• Registered Nurse Case

    HCA Healthcare (Pasadena, TX)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare ... make a difference. We are looking for a dedicated Registered Nurse Case Manager...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
    HCA Healthcare (06/21/25)
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  • Case Manager ( RN ) - PRN…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks...case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (05/25/25)
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  • RN Case Manager LTSS (Nursing…

    Molina Healthcare (TX)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (08/10/25)
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  • Certified Case Manager

    Houston Methodist (Cypress, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks...case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/26/25)
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  • Clinical Manager RN Sign On Bonus

    HCA Healthcare (San Antonio, TX)
    …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... Do you have the career opportunities as a Clinical Manager RN you want with your current...and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation… more
    HCA Healthcare (06/21/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (Austin, TX)
    …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with… more
    Molina Healthcare (06/19/25)
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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, ... hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/01/25)
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  • RN Clinical Manager Home Health

    CenterWell (Lubbock, TX)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (08/01/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …includes three years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more
    Houston Methodist (07/29/25)
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  • RN Care Manager Remote with field…

    Molina Healthcare (Austin, TX)
    …with Medicare /Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. Bilingual ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (08/08/25)
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