• Registered Nurse - Clinical Appeals…

    Cognizant (Austin, TX)
    …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
    Cognizant (10/09/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (Houston, TX)
    … utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This… more
    Houston Methodist (08/13/25)
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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 (07/31/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong… more
    HCA Healthcare (09/27/25)
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  • Clinical Manager RN Sign On Bonus

    HCA Healthcare (San Antonio, TX)
    …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records...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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  • Quality Outcomes Specialist - Houston…

    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 (09/27/25)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
    HCA Healthcare (10/12/25)
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  • EHR Support Analyst II

    HCA Healthcare (Austin, TX)
    …personal growth, we encourage you to apply for our EHR Support Analyst II - RN opening. We promptly review all applications. Highly qualified candidates will be ... use within the facility. This individual works with the Division EHR Support Specialist Team and facility core team members to develop training materials and deliver… more
    HCA Healthcare (09/21/25)
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