• LTSS Service Coordinator - Clinician

    Elevance Health (Corpus Christi, TX)
    …Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
    Elevance Health (04/29/25)
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  • Divisional Director of Care Management, Strategy…

    CenterWell (Austin, TX)
    …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with travel requirements to ... understanding and creating solutions that will lead to acute and post-acute care utilization reductions aligned with the PCO's objectives and goals. As a guideline,… more
    CenterWell (05/04/25)
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  • Senior EHR Support Analyst

    HCA Healthcare (San Antonio, TX)
    **Description** **TO QUALIFY; RN Certification Required & Currently live in San Antonio, TX.** **Introduction** Are you passionate about the patient experience? At ... We care like family! Jump-start your career as a Senior EHR Support Analyst - RN today with IT&S - San Antonio Division. **Benefits** IT&S - San Antonio Division,… more
    HCA Healthcare (04/26/25)
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  • Clinical Nurse , Outpatient (Pacemaker)…

    MD Anderson Cancer Center (Houston, TX)
    …students, trainees, professionals, employees and the public. *SUMMARY * *Clinical Nurse opportunity in the Cardiopulmonary Center. The ideal candidate will be ... an RN with at least one to two years of...team concerning home care, potential problems, emotional concerns or utilization review status. Participates in regularly scheduled team conferences… more
    MD Anderson Cancer Center (03/18/25)
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  • Nurse Reviewer I

    Elevance Health (Houston, TX)
    …an expanding set of clinical domains, including radiology, cardiology and oncology._ ** Nurse Reviewer I** **Location:** This is a virtual position open to Pacific, ... position and conducted in CDT, regardless of your individual time zone. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network and… more
    Elevance Health (05/15/25)
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  • Appeals Nurse

    Evolent (Austin, TX)
    …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
    Evolent (05/10/25)
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  • UR Coordinator

    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 (03/19/25)
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  • Triage Nurse I - Carebridge - Bilingual

    Elevance Health (TX)
    **Seeking bilingual Spanish-speaking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: ... and quality of life through home-care and community based services The **Triage Nurse I - Carebridge - Bilingual** is responsible for determining the appropriate… more
    Elevance Health (05/20/25)
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  • Director of Medicine Unit III

    HCA Healthcare (San Antonio, TX)
    …in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. + ... What qualifications you will need: + Three years recent RN acute care experience. + Bachelor's Degree in Nursing...Bachelor's Degree in Nursing (BSN) + Must have current RN license to practice professional nursing in the state… more
    HCA Healthcare (05/07/25)
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  • Director of Medical Surgical Telemetry

    HCA Healthcare (San Antonio, TX)
    …in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. + ... What qualifications you will need: + Three years recent RN acute care experience. + Bachelor's Degree in Nursing...Bachelor's Degree in Nursing (BSN) + Must have current RN license to practice professional nursing in the state… more
    HCA Healthcare (03/23/25)
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