• Registered Nurse ( RN )…

    Texas Health Resources (Arlington, TX)
    Registered Nurse ( RN ) - Case Manager - PRN Work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Work hours: PRN - Weekend/Evening Shift ... including but not limited to Joint Commission, TMF, TDI, Medicare , and Milliman Care Guidelines. 2. Applies knowledge of...case management/discharge planning experience Pref Licenses and Certifications RN - Registered Nurse Upon… more
    Texas Health Resources (08/29/25)
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  • Registered Nurse Case Manager…

    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 Southeast, ... make a difference. We are looking for a dedicated Registered Nurse Case Manager Rehab...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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  • RN Medicare Compliance Sr

    Sedgwick (Austin, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE ROLE:** To perform provider ... Set-Aside. + Executes outreach activities with providers for each case via telephone, email, and fax, adhering to best...to the next round, recruiter will be in touch. \# nurse # medicare #medicaresetaside _As required by law,… more
    Sedgwick (08/29/25)
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  • Case Manager ( RN ) | Case

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which ... hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/30/25)
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  • Utilization Review Nurse - Case

    Houston Methodist (The Woodlands, TX)
    …includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the… more
    Houston Methodist (07/12/25)
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  • Director Case Management & Social Services…

    Houston Methodist (Houston, TX)
    …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN ...discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures… more
    Houston Methodist (08/20/25)
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  • School Case : Private Duty RN - Low…

    Aveanna Healthcare (Arlington, TX)
    School Case : Private Duty RN - Low Acuity (Days)...Position Details Join a Company That Puts People First! Registered Nurse - RN We currently have ... patient in theschoolsetting. Here are some details of this case : Schedule:Monday-Friday (9am-5pm Location/Setting:Arlington ISD Age Range:Child Acuity:Feeding Tube &… more
    Aveanna Healthcare (08/15/25)
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  • In Home Health Care RN - Part Time/PRN Days…

    Aveanna Healthcare (Buda, TX)
    …Nursing Salary: $30.00 - $33.00 per hour Position Details Join a Company That Puts People First! Registered Nurse - RN - Immediate Schedules in Buda - Days / ... client/patient. Here are some of the details of this case , more can be discussed by applying or contacting...applicants from diverse backgrounds to apply. Requirements Position Overview Registered Nurse ( RN ) is responsible… more
    Aveanna Healthcare (07/30/25)
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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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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    …includes five 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 ) responsible for...to address identified educational needs for providers and utilization review/ case management team members. + Serves as the primary… more
    Houston Methodist (08/26/25)
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