- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …during the open period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must reside ... or holidays will be required** . The Case Manager RN is responsible for telephonically and/or face to face...- Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- MTC (Raymondville, TX)
- …The **El Valle Detention Facility in Raymondville, TX** is seeking a dedicated RN to provide compassionate care and support to individuals in our detention center. ... of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are...and Experience Requirements:** Degree in nursing, current, valid nursing RN license in the state of Texas or a… more
- MTC (Livingston, TX)
- …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... and confidentiality of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are documented. + Closely… more
- Houston Methodist (Houston, TX)
- …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Molina Healthcare (TX)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- AccentCare, Inc. (Dallas, TX)
- Overview Registered Nurse / RN Team Director , Hospice Location: Dallas Position: Registered Nurse / RN Team Director Job ID: 2025-76227 ... Find Your Passion and Purpose as a Full-Time Hospice Registered Nurse / RN Team...support the Interdisciplinary Group (IDG) in development, implementation, and review of the interdicisiplinary plan of care for each… more
- Houston Methodist (Houston, TX)
- …HMWB (Willowbrook) HMTW (The Woodlands), HMSL (Sugar Land), HMCY (Cypress) At Houston Methodist, the Registered Nurse ( RN ) PRN position is a licensed staff ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...has been submitted on our career site. We will review your interest but recommend to apply at houstonmethodistcareers.org… more
- HCA Healthcare (Denton, TX)
- …and personal growth, we encourage you to apply for our Registered Nurse Surgical Trauma opening. We promptly review all applications. Highly qualified ... **Description** **Medical City Denton** ** Registered Nurse , Surgical Trauma** **Day Shift**...quality, patient-centered care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The … more