• Telephonic Nurse Case Manager II

    Elevance Health (Houston, TX)
    …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (10/10/25)
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  • Pre-Authorization Nurse

    Humana (Austin, TX)
    …contract. We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years ... criteria or comparable (such as Interqual, etc.) ​ **Preferred Qualifications** + Utilization Review /Quality Management experience + BA/BSN degree… more
    Humana (10/14/25)
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  • Pre-Transplant Coordinator ( RN ) | Liver

    Houston Methodist (Houston, TX)
    …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
    Houston Methodist (08/19/25)
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  • Clinical Manager RN Sign On Bonus

    HCA Healthcare (San Antonio, TX)
    …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and...we encourage you to apply for our Clinical Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (09/19/25)
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  • RN Mother/Baby Nights

    AdventHealth (Mansfield, TX)
    …**EDUCATION AND EXPERIENCE REQUIRED:** Associates of Nursing Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying ... reviews. Recognizes and responds to life-threatening situations according to protocol. Utilizes management skills to supervise, evaluate, and review patient care… more
    AdventHealth (10/07/25)
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  • RN ICU Days or Nights

    AdventHealth (Mansfield, TX)
    …to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED:** Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...growing business community. **The role you'll contribute:** The Staff RN coordinates the care and service of selected patient… more
    AdventHealth (09/06/25)
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  • Assistant Vice President

    Sedgwick (Austin, TX)
    …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... lines; and to provide expertise in client specific case management and utilization review requirements...to promote maximum performance. **Education & Licensing** Current unrestricted RN license in a state or territory of the… more
    Sedgwick (10/10/25)
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  • 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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  • Behavioral Health Clinical Quality Audit Analyst,…

    Elevance Health (Grand Prairie, TX)
    …and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as ... + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D., RN ). + Candidates from all states are welcome, but they must reside… more
    Elevance Health (10/13/25)
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