• Clinical Review Nurse - Concurrent…

    Actalent (Austin, TX)
    Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: Tuesday-Friday, 10:00 ... Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for...providers to approve determinations or provide recommendations based on review findings + Educate providers on utilization … more
    Actalent (12/03/25)
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  • Clinical Review Nurse

    Actalent (Austin, TX)
    Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... with providers to approve or recommend determinations based on review findings + Educate providers on utilization ...years of related experience + Required Licensure: LPN/LVN or RN - Compact State License + Strong time-management skills… more
    Actalent (12/03/25)
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  • RN Case Manager

    Prime Healthcare (Harlingen, TX)
    Overview We are seeking an RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager ... RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance...an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to… more
    Prime Healthcare (11/20/25)
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  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …1 weekend shift. Shift length may vary and could be from 6-8 hours *_** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our...pertaining to federally funded programs as they relate to utilization review , discharge planning and financial reimbursement.… more
    HCA Healthcare (11/08/25)
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  • Director Case Management & Social Services…

    Houston Methodist (Houston, TX)
    …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for… more
    Houston Methodist (11/18/25)
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  • Clinical Documentation Specialist - RN…

    Houston Methodist (Houston, TX)
    …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (10/29/25)
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  • RN Emergency Department - Mids

    AdventHealth (Burleson, TX)
    …ISD which also provides a low-cost of living. **The role you'll contribute:** The registered nurse utilizes principles of the nursing process to provide for the ... departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology...procedures of the Emergency Room and hospital administration. The registered nurse utilizes principles of the nursing… more
    AdventHealth (09/05/25)
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  • Supv Comprehensive Care RN

    Baylor Scott & White Health (College Station, TX)
    …MAJOR - Nursing - EXPERIENCE - 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a health care system committed to ... **JOB SUMMARY** Supervisor Comphrensive Care Management RN supervises the daily activities and staff responsible...across the continuum to include case management, social work, utilization review and care coordination to achieve… more
    Baylor Scott & White Health (10/25/25)
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  • RN Case Manager

    HCA Healthcare (Lewisville, TX)
    …preferences and needs are considered and aligned What qualifications you will need: + Registered Nurse with current TX state license required + Associate Degree ... supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +...career path, we encourage you to apply for our RN Case Manager opening. We review all… more
    HCA Healthcare (11/22/25)
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  • Pre-Transplant Coordinator ( RN ) | Heart

    Houston Methodist (Houston, TX)
    …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
    Houston Methodist (10/28/25)
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