• Case Manager - Registered Nurse

    CVS Health (Austin, TX)
    …with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical Excellence (NME) team and is ... a fully remote position. Candidates from any state are welcome to...apply, however, preference is for candidates in compact Registered Nurse (RN) states. This role is a blended role… more
    CVS Health (11/22/25)
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  • Coding Quality Auditor, HEDIS * Remote…

    Providence (Lubbock, TX)
    …in a medical record. + 2 years - HEDIS, Quality management/quality improvement/ utilization review auditing experience, including experience in auditing within ... and Data Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records… more
    Providence (11/21/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (San Antonio, TX)
    For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
    Molina Healthcare (11/23/25)
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  • Assistant/Associate Professor, Clinical Faculty…

    MD Anderson Cancer Center (Houston, TX)
    …policy. Will require dictating in a clear and concise manner, and visual review of documents. Correspond as appropriate, in writing or by telephone, to conversations ... resident, and other trainees rotating through the Department; and Provide peer review for assessing the clinical practice for faculty within the Department. Medical… more
    MD Anderson Cancer Center (11/12/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to ... source within 2 hours. + Performs on-site and off-site review of patients in designated facilities to assist Case...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual… more
    HCA Healthcare (09/27/25)
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