• Trauma Outreach Coordinator/Education & Injury…

    Medical Center Hospital (Odessa, TX)
    …A. Education: Graduate of an accredited school of nursing, current License as a Registered Nurse in the State of Texas. BSN preferred. Certification in CEN/CCRN; ... of the Trauma patient is required. One year experience in performance improvement, utilization review and teaching is preferred. C. Job Knowledge Comprehensive… more
    Medical Center Hospital (09/04/25)
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  • Branch Director - Hospice

    Elara Caring (San Antonio, TX)
    …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...What is Required? + 5+ years Hospice experience + RN license in state of operations that is current… more
    Elara Caring (09/10/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Austin, TX)
    …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... **Required** + None **Preferred** + PA clinical licensure/certifications such as RN , RD, Pharmacist **Language (Other than English):** None **Travel Requirement:**… more
    Highmark Health (08/26/25)
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  • Care Review Clinician, Inpatient…

    Molina Healthcare (TX)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
    Molina Healthcare (09/27/25)
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  • RN Case Manager PRN weekend days

    Houston Methodist (Nassau Bay, TX)
    …preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of ... 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 (09/10/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    …and at least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/26/25)
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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 ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
    Houston Methodist (09/23/25)
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  • RN Care Manager

    AdventHealth (Mansfield, TX)
    …you'll need to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) Two (2) ... career with AdventHealth, 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 (09/25/25)
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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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  • RN , Nursing Supervisor

    Select Medical (Fort Worth, TX)
    …State RN License required. + Two or more years of experience as a Registered Nurse ; one or more years experience in a managerial or supervisory capacity is ... May Apply** **Responsibilities** Under the direction of the Chief Nursing Officer (CNO)/ Nurse Manager (if position applies within hospital), the Nurse Supervisor… more
    Select Medical (08/29/25)
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