• Utilization Review Specialist

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively ... this position is able to cover a multitude of utilization review functions through point of entry,...and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/02/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    + Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician...A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed… more
    Medical Center Hospital (10/18/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Dallas, TX)
    …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN , Quality,… more
    Deloitte (11/21/25)
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  • Registered Nurse , Occupational…

    Houston Methodist (Houston, TX)
    …experience + Occupational health nursing experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills… more
    Houston Methodist (11/05/25)
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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 (10/29/25)
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  • Quality Outcomes Specialist / RN

    Houston Methodist (Houston, TX)
    …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care… more
    Houston Methodist (10/25/25)
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  • Quality Outcomes Specialist ( RN )

    Houston Methodist (Houston, TX)
    …+ Two years of leadership experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating...has been submitted on our career site. We will review your interest but recommend to apply at houstonmethodistcareers.org… more
    Houston Methodist (12/09/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue...nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (10/29/25)
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  • CDI Specialist II - Inpatient

    Baylor Scott & White Health (Dallas, TX)
    …degree in nursing or Health Information Management or Health Informatics. Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC). Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Must be a Registered more
    Baylor Scott & White Health (12/31/25)
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  • CDI Specialist III - Inpatient

    Baylor Scott & White Health (Dallas, TX)
    …in a competent, professional and courteous manner. **KEY SUCCESS FACTORS** Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... **JOB SUMMARY** RN position that performs patient record reviews to...education to others such as allied health professionals, Administration, Utilization Review , Comprehensive Care specific to documentation… more
    Baylor Scott & White Health (12/31/25)
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