• Case Manager - PRN

    Houston Methodist (The Woodlands, 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 (11/07/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... 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 (10/11/25)
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  • Clinical Documentation Specialist - RN…

    Houston Methodist (Houston, TX)
    …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (10/29/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...the specific programs supported by the plan such as utilization review , medical claims review ,… more
    Molina Healthcare (11/14/25)
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  • Clinical Manager RN

    HCA Healthcare (San Antonio, TX)
    …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation...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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  • Rehab Case Manager

    HCA Healthcare (El Paso, TX)
    …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager Rehab position and spend ... Manager serves as a liaison between medical staff, administration, utilization review , nursing, finance, medical records and...in your career! We are interviewing candidates for our Registered Nurse Case Manager Rehab… more
    HCA Healthcare (11/14/25)
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  • Case Manager - Inpatient Rehab - PRN

    Texas Health Resources (Dallas, TX)
    …experience required. * One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed Master ... Case Manager - Inpatient Rehabilitation _Bring your passion...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective… more
    Texas Health Resources (10/23/25)
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  • RN Quality Outcomes Coordinator

    HCA Healthcare (Irving, TX)
    …Basic Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associates Degree + 3-5 years Med-Surg work ... duties as assigned to assist in improving quality, resource utilization and patient safety. **What qualifications you will need:**...career path, we encourage you to apply for our RN Quality Outcomes Coordinator opening. We review … more
    HCA Healthcare (11/15/25)
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  • Quality Outcomes Specialist/ RN (CPHQ…

    Houston Methodist (Houston, TX)
    …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of… more
    Houston Methodist (10/25/25)
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  • Nurse Defense Auditor

    MD Anderson Cancer Center (Houston, TX)
    …reviews and audits of patient accounts to complete Defense Audits. *Ideal Candidate:* A * Registered Nurse ( RN )* with experience in *appeals* and * nurse ... of appeal. * Contact third-party payers, insurance medical directors, case management, and utilization review ...remote. Prefer Houston/local area. *LICENSES AND CERTIFICATIONS* * Required: RN - Registered Nurse -… more
    MD Anderson Cancer Center (11/15/25)
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