• Utilization Review Specialist Nurse

    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 entry ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as… more
    Houston Methodist (11/02/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
    CenterWell (11/13/25)
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  • Acute, Nurse Case Manager

    ChenMed (Houston, TX)
    …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes ... into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with… more
    ChenMed (12/09/25)
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  • Nurse Manager - Mother Baby Unit…

    UTMB Health (Galveston, TX)
    Nurse Manager - Mother Baby Unit (Galveston) **Galveston, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2506893 **REQUIRED ... years of progressive management experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant Nurse Manager ) required. Current… more
    UTMB Health (12/05/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …Houston Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** HCA ... positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want your...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (12/30/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …Las Palmas Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits** Las Palmas ... positive outcomes for your patients as a (an) Registered Nurse Case Manager . We want your knowledge...retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies… more
    HCA Healthcare (11/14/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Cypress, TX)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current employer? We have ... colleagues. Do you want to work as a(an) Registered Nurse Case Manager PRN where your passion...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (12/10/25)
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  • Registered Nurse Case Manager NICU…

    HCA Healthcare (Austin, TX)
    …North Austin Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager NICU PRN you can be a part of change. **Benefits** ... positive outcomes for your patients as a (an) Registered Nurse Case Manager NICU PRN. We want...supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for… more
    HCA Healthcare (12/11/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Austin, TX)
    …South Austin Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** St. ... positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want your...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
    HCA Healthcare (12/03/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Dallas, TX)
    …at Medical City Dallas have the opportunity to make a real impact. As a Registered Nurse Case Manager PRN you can be a part of change. **Benefits** Medical City ... improve positive outcomes for your patients as a Registered Nurse Case Manager PRN. We want your...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
    HCA Healthcare (12/13/25)
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