• NICU Case Manager Austin Market…

    HCA Healthcare (Austin, TX)
    **Description** **Introduction** Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you want in your current role? We ... retrospective review of patient medical records for purposes of utilization review, care coordination compliance with requirements of external...path, we encourage you to apply for our NICU Case Manager Austin Market Float Pool PRN… more
    HCA Healthcare (09/19/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Dallas, TX)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (09/26/25)
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  • Transitions of Care - RN , 100% Virtual,…

    Elevance Health (TX)
    …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... **Transitions of Care - RN , 100% Virtual, CareBridge** Location: This role enables...agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and… more
    Elevance Health (10/01/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (San Antonio, TX)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Clinical Manager Home Health

    CenterWell (Austin, 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 (09/06/25)
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  • Transfer Center Point of Entry Nurse - Mid…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse ( RN ) who responsible for facilitation of the functional and ... orders and special request concerning each patient. Coordinates with case manager to escalate cases. + Demonstrates...experience highly preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/21/25)
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  • Manager , Healthcare Services

    Molina Healthcare (TX)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (09/27/25)
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  • Care Manager I - Transition in Care (Remote…

    Houston Methodist (Houston, TX)
    …At Houston Methodist, the Care Manager I position is a licensed registered nurse ( RN ) who works collaboratively with the interprofessional healthcare ... triage, emergency medicine, adult ambulatory care preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
    Houston Methodist (09/09/25)
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  • Manager , Care Integration Team

    CenterWell (Dallas, TX)
    …years of professional experience + 2 or more years of management experience + Active Registered Nurse ( RN ) license or Social Work (SW) license + Proficiency ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with...an impact** **Required Qualifications** + A current unrestricted state RN license or social work degree / license +… more
    CenterWell (09/17/25)
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  • Manager Care Management

    AdventHealth (Mansfield, TX)
    ** Manager Care Management Texas Health Mansfield Affiliate of...of Social Work and Masters in related field + RN - Registered Nurse - ... TX 76063 **The role you'll contribute:** "The Care Management Manager is under the general leadership of the Care...State Licensure and/or Compact State Licensure if nurse and applying with BSN degree + 3 years… more
    AdventHealth (09/19/25)
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