• Utilization Review RN…

    Baylor Scott & White Health (Austin, TX)
    …priority. Note: Benefits may vary based on position type and/or level **Job Summary** As the Utilization Review RN you will review patient cases for ... fit their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and...experience is required. + You must hold a valid Registered Nurse License ( RN ). As… more
    Baylor Scott & White Health (07/23/25)
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  • Certified Case Manager/ RN…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\ RN - Registered Nurse - Texas State Licensure and/or Compact… more
    Houston Methodist (05/09/25)
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  • Case Manager/ RN (PRN) - Willowbrook

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and… more
    Houston Methodist (07/09/25)
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  • RN Case Manager

    Prime Healthcare (Mesquite, TX)
    …We are seeking an RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case ... other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization ...an accredited school of nursing and a current state Registered Nurse license. Additional Required Knowledge, Skills… more
    Prime Healthcare (05/16/25)
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  • Case Manager/ RN [36 hrs]…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which ... experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact… more
    Houston Methodist (07/09/25)
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  • RN Manager Case Management

    HCA Healthcare (El Paso, TX)
    …with patients and/or families as needed + You will complete accurate and timely utilization review of patient charts to insure appropriate utilization of ... **Description** **Introduction** We are seeking a(an) RN Manager Case Management with Del...information and referrals **What qualifications you will need:** + Registered Nurse + Bachelors Degree or Licensed… more
    HCA Healthcare (06/21/25)
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  • RN Case Manager

    HCA Healthcare (Corpus Christi, TX)
    …to complete task. **What qualifications you will need:** + Basic Cardiac Life Support + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree Corpus ... want you to apply! **Job Summary and Qualifications** The Nurse Case Manager is responsible for the...opportunity compelling, we encourage you to apply for our Case Manager Prof Other opening. We promptly review… more
    HCA Healthcare (06/21/25)
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  • Director - Case Management & Social…

    Houston Methodist (Houston, TX)
    …HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (05/02/25)
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  • RN Quality Improvement Analyst

    AdventHealth (Burleson, TX)
    … License **_EDUCATION AND EXPERIENCE PREFERRED:_** 2-3 years in hospital quality, case management, utilization review , or performance improvement. Strong ... winning facility and departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology and top experts including… more
    AdventHealth (07/18/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (TX)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
    Molina Healthcare (07/20/25)
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