• Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (08/13/25)
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  • Director of Women's Services

    Community Health Systems (Granbury, TX)
    …company's purpose and ambition. Encourages and values diversity. **Licenses and Certifications** + ** RN - Registered Nurse - State Licensure and/or Compact ... This is a full time Nursing ( RN ) Director of Women's Services at Lake Granbury...The Director focuses on enhancing patient safety, optimizing resource utilization , and promoting professional development for staff, all while… more
    Community Health Systems (07/30/25)
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  • Senior Medical Assistant - Primary Care…

    Houston Methodist (Sugar Land, TX)
    …medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
    Houston Methodist (08/13/25)
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  • Director of the Childbirth Center

    Houston Methodist (Nassau Bay, TX)
    …two of those years with people management experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... monitors budget reports and variances, evaluating human and material resource utilization and making necessary adjustments. Analyzes and interprets complex data sets… more
    Houston Methodist (08/13/25)
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  • Manager Radiology Nurse Services

    CommonSpirit Health (Houston, TX)
    …*Master's degree preferred *Five (5) years leadership experience Required Licensure and Certification: * Registered Nurse ( RN ), AHA Basic Life Support - CPR ... to physicians, Radiology and nursing staff, business and financial services, utilization management and quality management; Utilizes a scientific approach in the… more
    CommonSpirit Health (08/10/25)
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  • Process Improvement Lead

    Humana (Austin, TX)
    …and passions. **Use your skills to make an impact** **Required Qualifications** + ** Registered Nurse ( RN )** **with current, unrestricted licensure** + BSN ... 2. Review and monitor Contract Change Orders and evaluate impact on Utilization Management processes. Organize and facilitate Change Order workgroup and maintain… more
    Humana (08/09/25)
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  • Market Case Management Director

    Ascension Health (Austin, TX)
    …transfer date. + Counselor obtained prior to hire date or job transfer date. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior to ... to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of...of leadership or management experience preferred. **Additional Preferences** + RN License, LCSW or LMSW License required. + 2+… more
    Ascension Health (08/08/25)
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  • Senior LTSS Service Care Manager

    Centene Corporation (Austin, TX)
    …other duties as assigned. + Complies with all policies and standards. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization... Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification must be obtained within 90… more
    Centene Corporation (08/08/25)
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  • Program Manager, HCS

    Molina Healthcare (Austin, TX)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management, case management, care transition and/or disease management.… more
    Molina Healthcare (08/02/25)
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  • Clinical Reviewer, Nurse - 9am -6pm PST

    Evolent (Austin, TX)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
    Evolent (08/01/25)
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