• Care Review Clinician, PA ( RN )

    Molina Healthcare (Fort Worth, TX)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (10/26/25)
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  • RN Quality Outcomes Coordinator

    HCA Healthcare (Irving, TX)
    …Basic Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associates Degree + 3-5 years Med-Surg work ... **Description** **Medical City Las Colinas** ** RN Quality Outcomes Coordinator** **Full Time, Days, No...duties as assigned to assist in improving quality, resource utilization and patient safety. **What qualifications you will need:**… more
    HCA Healthcare (11/15/25)
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  • Clinical Manager RN

    HCA Healthcare (San Antonio, TX)
    …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... you have the career opportunities as a Clinical Manager RN you want with your current employer? We have...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (09/19/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Kerrville, TX)
    …unless an accommodation is granted as required by law._ The **LTSS Service Coordinator- RN ** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
    Elevance Health (10/16/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review, resource management , discharge planning or case management . ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...clinical RN Experience in acute setting. + RN License to practice as a professional registered… more
    HCA Healthcare (10/05/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review, resource management , discharge planning or case management . ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...clinical RN Experience in acute setting. + RN License to practice as a professional registered… more
    HCA Healthcare (09/19/25)
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  • Case Manager RN PRN

    HCA Healthcare (San Antonio, TX)
    … review, resource management , discharge planning or case management . + RN License to practice as a professional registered nursing in the state of ... have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current employer? We...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
    HCA Healthcare (10/17/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    … review, resource management , discharge planning or case management . + RN License to practice as a professional registered nursing in the state of ... hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be a...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (10/02/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Grand Prairie, TX)
    …I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient ... to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines… more
    Elevance Health (11/08/25)
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  • Program Manager, Healthcare Services (Contract…

    Molina Healthcare (Austin, TX)
    …more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent combination ... external vendors. * Focuses on process improvement, organizational change management , program management and other processes relative...of relevant education and experience. * Registered Nurse ( RN ),… more
    Molina Healthcare (11/13/25)
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