• 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 conducts point of ... to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (11/02/25)
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  • LVN / Licensed Vocational Nurse , Clinical…

    AccentCare, Inc. (Lake Jackson, TX)
    …as needed, etc. + Reporting and management of case management model with focus on paraprofessional utilization - including correct ... Overview Clinical Support Specialist LVN LPN Location: Lake Jackson Office Position:...Responsibilities: + Daily completion of the following tasks: daily management of KPIs, field staff support, verbal orders, workflow,… more
    AccentCare, Inc. (12/23/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... with clinical team partners. This position uses sound clinical judgement in the Utilization Management process and knowledge of regulatory requirements to make… more
    Houston Methodist (10/29/25)
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  • CDI Specialist II - Inpatient

    Baylor Scott & White Health (Dallas, TX)
    …Health Information Management or Health Informatics. Must be a Registered Nurse (RN) or Registered Health Information Administrator (RHIA) Requires one of the ... or inappropriate responses for reconciliation. Collaborates with Health Information Management coders, other Clinical Documentation Improvement Specialists and others… more
    Baylor Scott & White Health (12/31/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Dallas, TX)
    nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation and ... Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) certification required. + A minimum of 3 years of… more
    Deloitte (11/21/25)
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  • Assessment Referral Specialist

    HCA Healthcare (San Antonio, TX)
    …want to join an organization that invests in you as an Assessment Referral Specialist ? At Methodist Healthcare, you come first. HCA Healthcare has committed up to ... opportunity to make a difference. We are looking for a dedicated Assessment Referral Specialist like you to be a part of our team. **Job Summary and Qualifications**… more
    HCA Healthcare (12/10/25)
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  • Sales Support, Clinical Specialist - FORS…

    Philips (Dallas, TX)
    …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, etc. + You must ... **Sales Support, Clinical Specialist - FORS (West/National Travel)** In this role...with clinical experience as Radiologic Technologist (RT) or Registered Nurse (RN) highly preferred. + Experience in healthcare (in… more
    Philips (12/30/25)
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  • OR Specialist RN FT Days

    Baylor Scott & White Health (Frisco, TX)
    …vary based on position type and/or level **JOB SUMMARY** The Operating Room (OR) Specialist Registered Nurse (RN) is a licensed professional who uses the BSWH ... nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives.… more
    Baylor Scott & White Health (12/07/25)
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  • Quality Outcomes Specialist - Houston…

    Houston Methodist (Houston, TX)
    …in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating...review for performance improvement, peer review, patient safety, risk management and other projects. + Facilitates and leads process… more
    Houston Methodist (12/27/25)
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  • Quality Outcomes Specialist (RN)

    Houston Methodist (Houston, TX)
    …in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (12/09/25)
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