• Aetna Commercial Clinical Program Consultant…

    CVS Health (Austin, TX)
    …valued by internal partners and customers. **Required Qualifications** + Active, unrestricted registered nurse ( RN ) license + Minimum 5 years of clinical ... This is a customer‑facing role requiring up to 50% travel throughout the Western US, including onsite customer meetings,...ability to communicate chronic condition impacts on population health ** Education ** + RN - BSN preferred or… more
    CVS Health (12/26/25)
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  • Clinical Activation Planner FT (Hybrid)

    Houston Methodist (Houston, TX)
    …years of hospital clinical or healthcare experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... reused equipment, furniture, art, signage, etc. Responds promptly to internal and external customer requests + Participates in the...selection below._ + On Call* No ** TRAVEL _** Travel specifications may vary by department **_ +… more
    Houston Methodist (12/18/25)
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  • Nurse Practitioner Non-Acute - Primary Care…

    Houston Methodist (Baytown, TX)
    …medicine, or outpatient internal medicine preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- For NP, ... Weather Events, etc) regardless of selection below._ + On Call* Yes ** TRAVEL _** Travel specifications may vary by department **_ + May require travel more
    Houston Methodist (11/14/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... for delays and obstacles to discharge. As appropriate, identifies internal system activities that may cause denials and work...selection below._ + On Call* No ** TRAVEL _** Travel specifications may vary by department **_ +… more
    Houston Methodist (10/29/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case...selection below._ + On Call* No ** TRAVEL _** Travel specifications may vary by department **_ +… more
    Houston Methodist (10/16/25)
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  • Director , Clinical Operations

    Molina Healthcare (Austin, TX)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active ... Demonstrates flexibility in meeting changing performance objectives consistent with department objectives. + Develops standardized methods of improving production,… more
    Molina Healthcare (12/25/25)
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  • Senior Clinical Medical/Financial Risk Evaluation…

    Humana (Austin, TX)
    …Qualifications** + Bachelor's degree + Licensed Practical Nurse (LPN) or Licensed Registered Nurse ( RN ) without restriction in applicable state + Minimum ... analyses, and translates findings into clear reports and dashboards for internal partners and leadership. Furthermore, they analyze data through a clinical… more
    Humana (12/23/25)
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  • Patient Care Assistant - Observation (Nights)

    Houston Methodist (Houston, TX)
    …standards and provides direct patient care under the direction of a registered nurse . Documents, where applicable, care administered, diagnostic measurements, ... multiple ongoing priorities, seeking guidance and assistance from preceptor, licensed nurse , or management. + Contributes towards improving department scores… more
    Houston Methodist (12/25/25)
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  • Patient Care Assistant (PCA) WT 3 FT Days

    Houston Methodist (Houston, TX)
    …standards and provides direct patient care under the direction of a registered nurse . Documents, where applicable, care administered, diagnostic measurements, ... multiple ongoing priorities, seeking guidance and assistance from preceptor, licensed nurse , or management. + Contributes towards improving department scores… more
    Houston Methodist (12/18/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... It is also used to identify issues which can be used for education of network providers, identification and resolution of quality issues and inappropriate claim… more
    Highmark Health (11/14/25)
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