• 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 (10/29/25)
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  • CDI Specialist II - Inpatient

    Baylor Scott & White Health (Dallas, TX)
    …degree in nursing or Health Information Management or Health Informatics. Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... Improv Practitioner (CDIP) or Cert Professional Coder (CPC). & Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Must be a Registered Nurse more
    Baylor Scott & White Health (11/21/25)
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  • VP, Healthcare Services

    Molina Healthcare (Fort Worth, TX)
    …education and experience. * At least 7 years health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Office suite (including Excel), and applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (11/21/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... 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 (11/07/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, 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 (10/11/25)
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  • Nurse Practitioner First Assist, NWD - CV…

    Houston Methodist (The Woodlands, TX)
    …clinical experience + One year of surgical experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... and graduate from an accredited Nurse Practitioners program **WORK EXPERIENCE** + Two years of registered nurse , advanced practice or nurse practitioner… more
    Houston Methodist (10/14/25)
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  • Director, Comprehensive Care Management

    Baylor Scott & White Health (Dallas, TX)
    …review, or related field. 3. 1+ years of experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed Master Social Worker (LMSW) or above ... management, social services, coordination of patient care, patient access, utilization management, and discharge planning. Directs the management and...Worker -- LMSW - Lic Masters Social Worker -- RN - Registered Nurse . As… more
    Baylor Scott & White Health (11/15/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for… more
    Houston Methodist (10/16/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Dallas, TX)
    …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
    Deloitte (11/21/25)
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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 (10/29/25)
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