• Care Manager I - Transition in Care…

    Houston Methodist (Houston, TX)
    …Houston area.** At Houston Methodist, the Care Manager I position is a licensed registered nurse ( RN ) who works collaboratively with the interprofessional ... **Notes -** + **Selected candidate will work remote after completing onsite department training.** + **Selected...ambulatory care preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (09/09/25)
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  • Disease Management Nurse…

    Sharecare (Austin, TX)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (09/13/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (San Antonio, TX)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... 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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  • Appeals and Grievances Clinical Specialist…

    Healthfirst (TX)
    …Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management /case management . ... This position is 100% Remote . We are hiring for the following schedules...process + Additional duties as assigned Minimum Qualifications: + RN , LPN OR Dental Hygienist Preferred Qualifications: + Bachelors… more
    Healthfirst (10/02/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ( ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider… more
    Apex Health Solutions (08/24/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works… more
    HCA Healthcare (09/27/25)
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  • Maternal Health Provider

    Texas A&M University System (Fort Worth, TX)
    …Four years of related clinical experience in obstetrics as an Advanced Practice Registered Nurse , including experience in managing and collaborating on high-risk ... APRN license in the State of Texas + Board Certification as a Certified Nurse Midwife (CNM), Women's Health Care Nurse Practitioner (WHNP-BC (TM) ), or… more
    Texas A&M University System (07/24/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Austin, TX)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside...for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
    Lincoln Financial (10/01/25)
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  • Clinical UM Nurse 2

    CenterWell (Austin, TX)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
    CenterWell (09/26/25)
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  • Senior Medical Science Liaison, Dermatology…

    J&J Family of Companies (Austin, TX)
    …TA and/or Immunology. + Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. + Reside in or near ... identified OLs and health care providers (MD, PA, NP, RN , Pharm.D., biocoordinators) and developing and managing a geographical...their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr.… more
    J&J Family of Companies (08/28/25)
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