• Registered Nurse - Only for Current…

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …Employees using this announcement must update their applications every 90 days. As the Registered Nurse , you will use professional standards of care and practice ... research activities to improve care. Identify and assess resource utilization and safety issues, taking appropriate action. Work Schedule:...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (05/01/25)
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  • Registered Nurse , Telehealth…

    ChenMed (Houston, TX)
    …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.… more
    ChenMed (04/24/25)
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  • Registered Nurse

    MTC (Livingston, TX)
    …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more
    MTC (05/03/25)
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  • Case Manager ( RN ) - Full Time…

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... patients and reimbursement for the hospital. + Applies approved utilization criteria to monitor appropriateness of admissions, level of...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (05/16/25)
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  • Utilization Management Behavioral Health…

    Humana (Austin, TX)
    …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in an enhanced compact, (eNLC) with ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
    Humana (05/13/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Houston, TX)
    …be required to perform other duties as assigned. **Qualifications** **Required:** -Associate's Degree - Registered Nurse ( RN ) -Two (2) years of experience ... -Knowledge of case management, working of Medicare, Medicaid and private insurance -Ability to interact professionally with case management staff, physicians and payers + If offered the position, you will have 90 days to pass the MCG competency test. However,… more
    Catholic Health Initiatives (05/11/25)
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  • Utilization Review Nurse

    Houston Methodist (Houston, TX)
    …Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and concurrent ... the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs &...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (05/15/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (San Antonio, TX)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... BHEC if you hold a LPC, LCSW, or LMFT. Registered Nurse can hold Texas State Licensure...Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members… more
    Centene Corporation (05/18/25)
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  • Cath Lab RN

    Baylor Scott & White Health (Mckinney, TX)
    …previous experience in EP and/or Cath Lab as RN **JOB SUMMARY** The Cath Lab Registered Nurse ( RN ) is a licensed professional who uses the BSWH nursing ... and that our workforce should be reflective of the communities we serve. + The Cath Lab Registered Nurse ( RN ) is a licensed professional. The RN uses the… more
    Baylor Scott & White Health (03/04/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …skills, both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for the review and evaluation… more
    CVS Health (05/17/25)
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