• RN M/S Nights

    AdventHealth (Lampasas, TX)
    …Extending the Healing Ministry of Christ. **The role you'll contribute:** The Staff RN coordinates the care and service of selected patient populations across the ... continuum of illness; promotes effective utilization of and monitors health care resources; and provides...and information to the interdisciplinary team via the Charge Nurse to achieve optimal clinical and resource outcomes. The… more
    AdventHealth (10/03/25)
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  • RN - Pre-Surgery Holding PRN

    AdventHealth (Mansfield, TX)
    …except on weekends when not here. Stocks the outpatient rooms daily as evidenced by nurse management . Performs opening or closing of the unit duties daily, as ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...business community. **The role you'll contribute:** The Outpatient Surgery RN practices as a professional nurse within… more
    AdventHealth (09/19/25)
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  • Care Review Clinician - Resident of NM…

    Molina Healthcare (TX)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… more
    Molina Healthcare (09/27/25)
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  • Regional Care Manager - Must be Located in…

    Wellpath (Mckinney, TX)
    …Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience + ... make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites… more
    Wellpath (09/30/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Houston, TX)
    …the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a targeted patient ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance… more
    Houston Methodist (09/27/25)
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  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (09/13/25)
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  • Manager Care Management

    AdventHealth (Mansfield, TX)
    …Bachelor's of Nursing OR + Bachelors of Social Work and Masters in related field + RN - Registered Nurse - State Licensure and/or Compact State Licensure if ... + Participates, as needed, in hospital/medical staff meetings to review patients meeting criteria related to high dollar/extended length...degree + 3 years of experience in direct Care Management / Utilization Management experience in an… more
    AdventHealth (09/19/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider… more
    Apex Health Solutions (08/24/25)
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  • Clinical Manager Home Health

    CenterWell (Austin, TX)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/06/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Austin, TX)
    …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... **What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where… more
    Lincoln Financial (10/01/25)
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