• Care Review Clinician ( RN )

    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 ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications *...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (12/24/25)
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  • RN CVICU Nights

    Baylor Scott & White Health (Denton, TX)
    …. Cardiovascular experience is required. Such as CVICU, CVPCU, Cath Lab **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who uses the ... **The Heart Hospital -** **2801 S Mayhill Rd, Denton, 76208** + Position: RN Tele + PCU + ICU + CVICU + Shift: Full-time, Nights, 3x12s + Experience: Must have 2yr… more
    Baylor Scott & White Health (12/20/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (01/16/26)
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  • Director of Case Management & Social Services…

    Houston Methodist (The Woodlands, 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 position is responsible for strategy, function and operations of the Case Management & Social… more
    Houston Methodist (01/16/26)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Temple, TX)
    …minimum qualification - EXPERIENCE - 5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a health care system committed ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages the activities and staff responsible for...across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical… more
    Baylor Scott & White Health (12/04/25)
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  • RN EP Lab PRN

    Baylor Scott & White Health (Fort Worth, TX)
    …to be proficient in multiple roles in the EP/Cath Lab. **JOB SUMMARY** The Cath Lab Registered Nurse ( RN ) is a licensed professional who uses the BSWH ... **Experience Requirements:** Must have 1yr Cath Lab and/or EP Lab RN experience. **Patient Population: ** Adult Cardiology, Electrophysiology and Vascular patients.… more
    Baylor Scott & White Health (01/02/26)
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  • Utilization Review Coordinator - Full Time

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with insurance ... access the full range of their benefits through the utilization review process. Requirements + Education: Master's Degree in...LMFT or LMFT-A Preferred but not required. LVN or RN licensure also considered for this position. + Experience:… more
    Georgetown Behavioral Health Institute (12/30/25)
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  • Care Manager RN - Relational Health

    Covenant Health (Lubbock, TX)
    …+ Upon hire: Associate's Degree in Nursing degree/diploma. + Upon hire: Texas Registered Nurse License. + 2 years of Acute care nursing experience ... **Description** **Care Manager RN - Relational Health** The Care Manager ...Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of… more
    Covenant Health (01/14/26)
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  • Clinical Supervisor RN

    Children's Home Healthcare (Amarillo, TX)
    * RN LICENSE REQUIRED, DO NOT APPLY IF YOU DO NOT HAVE A...+ Current CPR + At least 2 years experience as a Registered Nurse + At least 1 year experience as ... VALID RN LICENSE* Children's Home Healthcare is now hiring for...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
    Children's Home Healthcare (12/31/25)
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  • RN UM Care Review Clinician Remote

    Molina Healthcare (Houston, TX)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... provide quality and cost-effective member care. We are seeking candidates with a RN licensure, Utilization Management knowledge and Medicare Appeals is strongly… more
    Molina Healthcare (01/14/26)
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