• Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
    Elevance Health (12/03/25)
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  • Operating Room Nurse

    HCA Healthcare (Round Rock, TX)
    …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (12/03/25)
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  • Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    ** Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Nurse Case Manager II** is responsible for care management within the scope of… more
    Elevance Health (11/26/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management… more
    Houston Methodist (10/29/25)
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  • VP, Healthcare Services

    Molina Healthcare (Fort Worth, TX)
    …education and experience. * At least 7 years health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Office suite (including Excel), and applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (11/27/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/07/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case management of a ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (10/11/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the… more
    Houston Methodist (10/16/25)
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  • Clinical Manager Home Health

    CenterWell (Austin, TX)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (12/02/25)
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  • Director, Comprehensive Care Management

    Baylor Scott & White Health (Dallas, TX)
    …, or related field. 3. 1+ years of experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed Master Social Worker (LMSW) or above 5. ... management, social services, coordination of patient care, patient access, utilization management, and discharge planning. Directs the management and...Worker -- LMSW - Lic Masters Social Worker -- RN - Registered Nurse . As… more
    Baylor Scott & White Health (11/15/25)
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