• Medical Assistant (Part-Time) - Surgery (Clear…

    Houston Methodist (Webster, TX)
    …and timely manner. Takes messages via telephone/email to forward to the provider/ registered nurse . + Contributes towards improvement of department scores for ... to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In collaboration with the… more
    Houston Methodist (10/28/25)
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  • Director of Care Management

    AdventHealth (Mansfield, TX)
    …performance with oversight to assure capital and fiscal accountability. + Partners with Utilization Management for the Utilization Review Committee as well ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...program in Nursing. Currently licensed to practice as a Registered Nurse in the state of Texas,… more
    AdventHealth (11/11/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Dallas, TX)
    …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN , Quality, DRG Validation and… more
    Deloitte (11/21/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Austin, TX)
    …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors… more
    San Antonio Behavioral Health (11/26/25)
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  • Case Manager - Inpatient Rehab - PRN

    Texas Health Resources (Dallas, TX)
    …years' clinical experience required. * One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed ... available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective … more
    Texas Health Resources (10/23/25)
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  • Med Mgmt Clinician Sr (US)

    Elevance Health (Grand Prairie, TX)
    …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid...review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
    Elevance Health (12/03/25)
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  • Senior Medical Assistant - Primary Care (West…

    Houston Methodist (Houston, TX)
    …medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
    Houston Methodist (12/02/25)
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  • Multi-Site Senior Medical Assistant- Primary Care…

    Houston Methodist (The Woodlands, TX)
    …assigned patient population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
    Houston Methodist (11/18/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
    Highmark Health (11/14/25)
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