• Case Reviewer (NP/PA) - Ortho Surgery

    Elevance Health (Grand Prairie, TX)
    …active, unrestricted license as a Physician Assistant or APRN (Advanced Practice Registered Nurse ) in applicable state(s) required. + AAPA (American Academy ... ** Case Reviewer (NP/PA)** **Carelon Medical Benefit Management...impact:** + Receives pre-authorization requests from front-line intake and nurse reviewers. + Conducts initial medical necessity clinical screenings.… more
    Elevance Health (08/13/25)
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  • Case Manager Assistant

    HCA Healthcare (Pasadena, TX)
    …C **ase Management Assistant (CMA)** will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges ... to discharges. The CMA will provide administrative support in Case Management functions. **What you will do...you will do in this role:** . Coordinates with RN case manager and social worker for… more
    HCA Healthcare (08/22/25)
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  • RN Clinical Supervisor

    Aveanna Healthcare (Corpus Christi, TX)
    …the Aveanna Clinical Standard of Excellence. Key components include internal case management , assisting with hospital discharges, coordinating start-of-care ... - $70,000.00 per year Position Details Position: Clinical Supervisor ( RN ) $5,000 SIGN ON BONUS Clinical Case ...processes, and validating nurse competencies. This position offers the opportunity to mentor… more
    Aveanna Healthcare (08/21/25)
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  • Case Manager PRN

    Select Medical (Frisco, TX)
    …per state guidelines ( RN , SW preferred) + Previous experience in Case Management and Discharge Planning preferred + CCM Certification Preferred **Additional ... as part of the discharge planning process. **The primary job functions in Case Management include:** + Clinical Interventions/Discharge and Care Planning … more
    Select Medical (08/08/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (San Antonio, TX)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • Remote Care Manager - RN

    Elevance Health (TX)
    …+ Health plan, hospice or home health experience preferred. + Telephonic case management or care coordination experience preferred. **For candidates working ... 8:00 - 5:00 PST The **Remote Care Manager - RN ** is responsible for providing telephonic support to patients...care physician (PCP). + Contacts hospice agency to discuss case , verify receipt of order and date/time of visit.… more
    Elevance Health (08/16/25)
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  • PRN RN Home Health

    HCA Healthcare (Houston, TX)
    …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Houston ... **Are you passionate about delivering patient-centered care?** Submit your application for PRN RN Home Health position and spend more time at the bedside with the… more
    HCA Healthcare (08/14/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (TX)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
    Molina Healthcare (08/13/25)
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  • Case Manager - Inpatient Rehabilitation

    Select Medical (Dallas, TX)
    …good standing required + Bachelor's Degree + two years experience in case management , discharge planning, workers comp and/or neurorehabilitation environment ... White Institute for Rehabilitation** **Dallas, TX** **Neuro Transitional Rehabilitation Center** ** Case Manager ( RN , LMSW, PT, OT, SLP)** **Hours: Monday-Friday… more
    Select Medical (06/12/25)
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  • RN Cardiac PCU

    Baylor Scott & White Health (Temple, TX)
    …Care Unit works hand in hand with multidisciplinary teams of social services, case management , physical therapy, respiratory therapy and dietary. Care of ... we need:** We're currently seeking full-time experienced (18 Months+) Registered Nurses to join our team at Baylor Scott...values.** **Requirements of the Ideal Candidate:** . Graduate of RN School of Nursing . ADN required; BSN preferred… more
    Baylor Scott & White Health (08/01/25)
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