• Assistant Vice President

    Sedgwick (Austin, TX)
    …and client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... business lines; and to provide expertise in client specific case management and utilization review ...promote maximum performance. **QUALIFICATIONS** **Education & Licensing** Current unrestricted RN license in a state or territory of the… more
    Sedgwick (06/29/25)
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  • Clinical Manager Home Health

    CenterWell (Austin, 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 (07/22/25)
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  • Nurse Clinician III - OR CLC 11am-11pm

    UTMB Health (Webster, TX)
    …experience and approved specialty certification. **LICENSES, REGISTRATIONS OR CERTIFICATIONS** Required: * Registered Nurse ( RN ). Must possess and maintain a ... Nurse Clinician III - OR CLC 11am-11pm **Webster,...strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site… more
    UTMB Health (07/18/25)
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  • 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)
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  • Lead, HCS (Clinical) TEXAS

    Molina Healthcare (San Antonio, TX)
    …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate… more
    Molina Healthcare (07/17/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers ... The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors… more
    San Antonio Behavioral Health (05/28/25)
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  • 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 (05/25/25)
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  • Care Transition Navigator SAL

    Methodist Health System (Dallas, TX)
    …Your Requirements: * Bachelor's degree in Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience in health ... 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 (07/17/25)
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  • Transition of Care, Licensed Vocational…

    CVS Health (Austin, TX)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
    CVS Health (07/18/25)
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  • Operating Room Nurse

    HCA Healthcare (Austin, TX)
    …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Bailey Square Surgical… more
    HCA Healthcare (06/21/25)
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