• 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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  • 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 Registered Nurse…

    Cognizant (Austin, TX)
    …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
    Cognizant (11/25/25)
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  • Registered Nurse Case Manager…

    Prime Healthcare (Weslaco, TX)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/ registered - nurse -case-manager ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS....to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
    Prime Healthcare (11/12/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Tomball, TX)
    …career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager...utilization ** **What qualifications you will need:** + **Current Registered Nurse License in the State of… more
    HCA Healthcare (11/08/25)
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  • RN Registered Nurse Care…

    AdventHealth (Mansfield, TX)
    …Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + Certified Case ... your career withAdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...a growing business community. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social… more
    AdventHealth (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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  • Case Manager- Registered Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
    Houston Methodist (11/15/25)
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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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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...the specific programs supported by the plan such as utilization review , medical claims review ,… more
    Molina Healthcare (11/14/25)
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