• RN , Manager, Utilization Management…

    Humana (Austin, TX)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing… more
    Humana (09/28/25)
    - Related Jobs
  • Utilization Review RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels of care. + Excellent communication skills… more
    Baylor Scott & White Health (08/29/25)
    - Related Jobs
  • Sr Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    …Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for promoting the achievement of optimal ... an expert level at all objectives delineated in the Utilization Review Nurse and Utilization ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (08/26/25)
    - Related Jobs
  • Utilization Review Case Mgr CMC- Clear Lake…

    UTMB Health (Webster, TX)
    …testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum of three (3) years ... Utilization Review Case Mgr CMC- Clear Lake Center...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all… more
    UTMB Health (09/14/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management is a… more
    CVS Health (09/14/25)
    - Related Jobs
  • Utilization Review Case Mgr - Galv. Campus…

    UTMB Health (Galveston, TX)
    Utilization Review Case Mgr - Galv. Campus ...nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of ... full time wage earning experience as a professional nurse in a health care setting. **JOB DESCRIPTION :** Performs technical and administrative work required to… more
    UTMB Health (09/24/25)
    - Related Jobs
  • Utilization Management Nurse

    Humana (Austin, TX)
    …guidelines/procedures **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
    Humana (09/26/25)
    - Related Jobs
  • Director Utilization Management-Clinical…

    Texas Health Resources (Arlington, TX)
    … Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management-Clinical Review _Are you looking for a...system services for wholly owned and Partner hospitals for utilization management. Job Duties OPERATIONS: Plans, organizes and delegates… more
    Texas Health Resources (09/25/25)
    - Related Jobs
  • Utilization Management Nurse

    Actalent (Houston, TX)
    …Skills & Qualifications + Bachelor's or Associate's degree in Nursing. + Texas Registered Nurse License. + Strong multitasking and time management abilities. + ... Clinical Review Nurse ( Utilization Management) 100% Remote Job...setting of care. Essential Skills + 2+ years of utilization management experience + Active Texas RN more
    Actalent (09/19/25)
    - Related Jobs
  • System Float Pool - ER RN PRN (Mid Shift…

    Houston Methodist (Houston, TX)
    …HMWB (Willowbrook) HMTW (The Woodlands), HMSL (Sugar Land), HMCY (Cypress) At Houston Methodist, the Registered Nurse ( RN ) PRN position is a licensed staff ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/18/25)
    - Related Jobs