• Care Review Clinician ( RN )

    Molina Healthcare (San Antonio, TX)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/23/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more
    CenterWell (11/13/25)
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  • RN Administrator Home Health

    Elara Caring (Fort Worth, TX)
    …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... a huge role in the growth of an entire home care industry. Here, each employee has the chance...required by state or federal guidance + Licensed physician, registered nurse or holds an undergraduate degree… more
    Elara Caring (12/10/25)
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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 ... exciting opportunity for you to join Methodist Healthcare at Home which is part of the nation's leading provider...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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  • Care Manager RN

    Covenant Health (Lubbock, TX)
    …**Required Qualifications:** + Upon Hire: Associate's Degree in Nursing + Upon hire: Texas Registered Nurse License + 2 or more years of acute care nursing ... **Description** **Care Manager RN ** **Join the Heart of Care at Covenant...or more years of experience in care management or utilization review in any setting or successful… more
    Covenant Health (12/11/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (10/05/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review more
    HCA Healthcare (09/19/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …Case Management will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...RN License to practice as a professional … more
    HCA Healthcare (10/02/25)
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  • Operating Room RN

    HCA Healthcare (San Antonio, TX)
    …and personal growth, we encourage you to apply for our Operating Room RN opening. We promptly review all applications. Highly qualified candidates will ... integrity. We care like family! Jump-start your career as an Operating Room RN today with Methodist ASC Landmark. **Benefits** Methodist ASC Landmark offers a total… more
    HCA Healthcare (12/06/25)
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  • Operating Room RN

    HCA Healthcare (San Antonio, TX)
    …and personal growth, we encourage you to apply for our Operating Room RN opening. We promptly review all applications. Highly qualified candidates will ... care like family! Jump-start your career as an Operating Room RN today with Methodist Ambulatory Surgery-Medical Center. **Benefits** Methodist Ambulatory… more
    HCA Healthcare (12/11/25)
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