• Registered Nurse Case Manager

    HCA Healthcare (Corpus Christi, TX)
    …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager position and spend more time at ... preferred + Current Texas licensure with State Board of Nurse Examiners as an RN + 1+...in your career! We are interviewing candidates for our Registered Nurse Case Manager opening. **Apply today… more
    HCA Healthcare (08/09/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Austin, TX)
    …in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want...supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management more
    HCA Healthcare (07/16/25)
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  • Case Manager, Registered Nurse

    CVS Health (TX)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (10/02/25)
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  • Utilization Review RN

    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 ... to fit their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels of care.… more
    Baylor Scott & White Health (08/29/25)
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  • Registered Nurse

    MTC (Livingston, TX)
    …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise… more
    MTC (09/23/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management ... clinical nursing/patient care experience which includes three years in utilization review , case management or...nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/31/25)
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  • Appeals and Grievances Clinical Specialist…

    Healthfirst (TX)
    …practice with experience in appeals & grievances, claims processing, utilization review or utilization management /case management . + Demonstrated ... for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case summary, contract information,… more
    Healthfirst (10/02/25)
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  • Utilization Review Case Mgr - Galv.…

    UTMB Health (Galveston, TX)
    Utilization Review Case Mgr - Galv....nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of ... the use of medical services, procedures, and facilities. Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise, and criteria… more
    UTMB Health (09/24/25)
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  • Case Manager RN PRN

    HCA Healthcare (San Antonio, TX)
    …within 90 days of hire date.) + Prefer at least one year experience in utilization review , resource management , discharge planning or case management . ... which Case Management will be performed. + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN PRN opening. We review all applications.… more
    HCA Healthcare (09/13/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    Management will be performed. + Prefer at least one year experience in utilization review , resource management , discharge planning or case management ... nursing program. **Preferred:** Bachelor of Science in Nursing + RN License to practice as a professional registered...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review more
    HCA Healthcare (08/28/25)
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