• Transfer Center Point of Entry Nurse - Mid…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse ( RN ) who responsible for facilitation of the functional and ... the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with...experience highly preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/21/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and… more
    Houston Methodist (07/31/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (09/27/25)
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  • Charge Nurse - Neuro Acute Care

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at the ... with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees...progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/15/25)
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  • Care Review Clinician - Resident of NM or TX…

    Molina Healthcare (TX)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN...clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse more
    Molina Healthcare (09/27/25)
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  • Care Manager I - Transition in Care (Remote - Must…

    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 ... prioritize daily tasks. Provides input into the unit resource utilization including capital and operational budget needs as appropriate....ambulatory care preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (09/09/25)
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  • Infusion Referral Nurse Sr- REMOTE

    Prime Therapeutics (Austin, TX)
    …Patient Programs. **Minimum Qualifications** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At minimum… more
    Prime Therapeutics (09/04/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management, Quality Management, Pharmacy, Provider relations and other… more
    Apex Health Solutions (08/24/25)
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  • Throughput Coordinator Neonatal ICU

    HCA Healthcare (Austin, TX)
    …you will need:** Experience * 5 years of clinical nursing experience as a NICU Registered Nurse ( RN ) Education * Associates Degree in Nursing (ADN) * ... the patient flow program effectiveness as it relates to utilization review, resource management and discharge planning and care...preferred License and Certifications * Current State of Texas Registered Nurse ( RN ) license or… more
    HCA Healthcare (08/23/25)
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  • Charge Nurse - Operating Room - Weekends

    Houston Methodist (The Woodlands, TX)
    …II Operating Room (OR) Department Premium WA Periop position is a licensed professional Registered Nurse ( RN ), who, as an experienced clinician, functions at ... staff accountable for restocking. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions...progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/31/25)
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