• Case Manager RN Emergency Dept

    HCA Healthcare (San Antonio, TX)
    …Dept experience is a plus. + 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...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (09/25/25)
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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 ... clinical RN Experience in acute setting. + 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 (09/19/25)
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  • Case Manager RN

    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 ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of... RN License to practice as a professional registered nursing in the state of Texas or Active… more
    HCA Healthcare (10/02/25)
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  • Mgr Comprehensive Care RN

    Baylor Scott & White Health (Mckinney, TX)
    …to address ongoing issues tied to patient care coordination, discharge planning, case management , and utilization review . + Monitor procedures and systems ... qualification + EXPERIENCE - (5) Five Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) As a health care system committed… more
    Baylor Scott & White Health (09/03/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Austin, TX)
    …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure… more
    Centene Corporation (10/02/25)
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  • Manager, Healthcare Services

    Molina Healthcare (TX)
    …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (09/27/25)
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  • Care Review Clinician ( RN ) (Must…

    Molina Healthcare (Austin, TX)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At… more
    Molina Healthcare (10/02/25)
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  • Case Manager ( RN ) | Case…

    Houston Methodist (Houston, TX)
    …the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management , which includes care transitions ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance… more
    Houston Methodist (08/30/25)
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  • Director Case Management & Social Services…

    Houston Methodist (Houston, TX)
    …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position...excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of… more
    Houston Methodist (08/20/25)
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  • Medical Claim Review Nurse…

    Molina Healthcare (San Antonio, TX)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years… more
    Molina Healthcare (09/06/25)
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