• RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …1 weekend shift. Shift length may vary and could be from 6-8 hours *_** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
    HCA Healthcare (08/09/25)
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  • RN Case Manager

    Houston Methodist (Nassau Bay, 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 (09/23/25)
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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 ...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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  • Director Utilization Management-Clinical…

    Texas Health Resources (Arlington, TX)
    … Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management-Clinical Review _Are you looking...state of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred… more
    Texas Health Resources (09/25/25)
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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 (09/19/25)
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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 (09/19/25)
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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 ... 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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  • Medical Claim Review Nurse…

    Molina Healthcare (San Antonio, TX)
    …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing… more
    Molina Healthcare (09/06/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Houston, 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 (09/27/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    …and at least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/26/25)
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