• Home Health- RN -PRN Weekends Only

    Home Care Providers of Texas (Desoto, TX)
    Seeking for a PRN Home Health Registered Nurse for Weekdays and/or Weekends in the North Dallas, TX area! Are you seeking relief from the constant pressure and ... needs of each individual patient. + Responsible for evaluating utilization of patient services and patient progress. Review...with the care team, patient, family members, physician, and case manager as needed. + Performs PRN visits, and… more
    Home Care Providers of Texas (04/25/25)
    - Related Jobs

  • Home Health RN - Full-time

    Home Care Providers of Texas (Round Rock, TX)
    Seeking Full-Time Home Health Registered Nurse in the North Austin, Round Rock TX and surrounding areas! Sign on Bonus Available Availability: Full Time ... needs of each individual patient. + Responsible for evaluating utilization of patient services and patient progress. Review...with the care team, patient, family members, physician, and case manager as needed. + Performs PRN visits, and… more
    Home Care Providers of Texas (04/23/25)
    - Related Jobs

  • Transplant Care Nurse RN - Stem…

    Highmark Health (Austin, TX)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... **EXPERIENCE** **Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition management experience, or provider… more
    Highmark Health (04/25/25)
    - Related Jobs

  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Fort Worth, TX)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (05/10/25)
    - Related Jobs

  • Consultant, Nurse Disability

    Lincoln Financial (Austin, TX)
    …Critical Care, Orthopedics, Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's ... looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial (04/30/25)
    - Related Jobs

  • Director of Comprehensive Care Management

    Baylor Scott & White Health (Waco, TX)
    …or related field preferred. Master's degree preferred. 2. 3+ years of experience in case management, social work, utilization review , or related field. 3. ... Baylor Scott and White Health (BSWH), which may include case management, social services, coordination of patient care, patient...Experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed… more
    Baylor Scott & White Health (05/09/25)
    - Related Jobs

  • Clinical Manager, Home Health

    CenterWell (League City, TX)
    …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... 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 (04/10/25)
    - Related Jobs

  • Transplant Recovery Nurse

    Houston Methodist (Houston, TX)
    …EXPERIENCE** + Two years Transplant Coordinator experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... cadaveric donor organ offers, assesses clinical diagnostics, and evaluates case details with transplant physicians to determine suitability which...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (05/06/25)
    - Related Jobs

  • Clinical Documentation Specialist

    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 (05/01/25)
    - Related Jobs

  • Care Transition Navigator - Care Management

    Methodist Health System (Mansfield, TX)
    …degree in Social Work, Registered Nurse with BSN preferred. Hospital case management experience preferred * LMSW/LBSW, or RN as licensed by the Texas ... planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient… more
    Methodist Health System (05/07/25)
    - Related Jobs