• Utilization Review Nurse , Evening…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... resource to the physicians and provides education and information on resource utilization and national and local coverage determinations (LCDs & NCDs). This position… more
    Houston Methodist (08/29/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management is a ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
    CVS Health (08/28/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
    Humana (08/09/25)
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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and… more
    Houston Methodist (08/26/25)
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  • Transfer Center Point of Entry Nurse - Mid…

    Houston Methodist (Houston, TX)
    …hospital units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and ... At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse...interprofessional health care team to ensure resource utilization is appropriate to the patient's clinical needs and… more
    Houston Methodist (07/21/25)
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  • Registered Nurse - Spinal Cord Injury

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Responsibilities Registered Nurse - Spinal Cord ... Summary The Registered Nurse (Spinal Cord Injury) is responsible for providing...vocational nurses/nursing assistants, as appropriate to the setting. The nurse will assist in directing the provision of nursing… more
    Veterans Affairs, Veterans Health Administration (08/28/25)
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  • Nurse Manager - Emergency Department - Days

    AdventHealth (Mansfield, TX)
    …and services of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors ... mirror peak census times with a high focus on nurse leader visits on days and nights. Discuss further...a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who… more
    AdventHealth (08/07/25)
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  • Utilization Management Clinical Consultant

    CVS Health (Austin, TX)
    …skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in clinically ... appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services for child and adolescent members. + Consults and… more
    CVS Health (08/30/25)
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  • Utilization Review RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …in discharge planning, setting case management referral standards, reviewing utilization , and categorizing levels of care. + Excellent communication skills ... years of professional experience is required. + You must hold a valid Registered Nurse License (RN). As a health care system committed to improving the health of… more
    Baylor Scott & White Health (08/29/25)
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  • Registered Nurse (RN) - Case Manager - PRN

    Texas Health Resources (Arlington, TX)
    Registered Nurse (RN) - Case Manager - PRN Work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Work hours: PRN - Weekend/Evening Shift Department ... and continuity of care to prevent readmission. 35% C. Utilization Review: 1. Performs utilization review according...planning experience Pref Licenses and Certifications RN - Registered Nurse Upon Hire Req And BCCMN - Board Certified… more
    Texas Health Resources (08/29/25)
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