• Sr Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    …intensive. This position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist ... At Houston Methodist, the Sr Utilization Review Specialist Nurse ...to effectively communicate with patients, physicians, family members and co- workers in a manner consistent with a customer service… more
    Houston Methodist (08/26/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning ... physicians and other members of the team on issues related to utilization review including inappropriate admissions and placements. Payer-based requests… more
    HCA Healthcare (09/20/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …next step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role?...in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved… more
    HCA Healthcare (09/04/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Houston, TX)
    …explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...collaboratively with medical directors, care teams, case managers, social workers , family and key caregivers to transition the patient… more
    ChenMed (09/26/25)
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  • Nurse Practitioner

    ChenMed (Houston, TX)
    …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... expanding and we need great people to join our team. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, regulatory… more
    ChenMed (09/18/25)
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  • Special Operations Nurse Case Manager…

    KBR (Houston, TX)
    …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... ur e ; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any US State, the District of Columbia, Guam,… more
    KBR (09/06/25)
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  • RN Case Manager

    Houston Methodist (Nassau Bay, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission… more
    Houston Methodist (09/23/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
    Houston Methodist (07/31/25)
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  • RN Case Manager PRN weekend days

    Houston Methodist (Nassau Bay, TX)
    …Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... of desired treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity of care and assures that admission and… more
    Houston Methodist (09/10/25)
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  • RN Case Manager

    Prime Healthcare (Harlingen, TX)
    …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager ....to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of… more
    Prime Healthcare (09/18/25)
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