• Clinical Review Nurse…

    Actalent (Austin, TX)
    Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: ... Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring appropriate care,… 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 ... - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote...our remote team. In this role, you will perform concurrent reviews to evaluate medical necessity, determine appropriate levels… more
    Actalent (12/03/25)
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  • Utilization Review Specialist Nurse…

    Houston Methodist (Houston, TX)
    … functions through point of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is...regarding any claim issues or concern that may require clinical review during the pre-bill, audit, or… more
    Houston Methodist (11/02/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical … more
    HCA Healthcare (11/14/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical … more
    HCA Healthcare (11/26/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical … more
    HCA Healthcare (11/06/25)
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  • Nurse Manager RN Woman Services

    HCA Healthcare (Tomball, TX)
    …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... and more affordable to gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to learn! **Job Summary and… more
    HCA Healthcare (10/13/25)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Houston, TX)
    …to you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to...resource to Hospital and Medical Staff + Responsible for concurrent audits of patient charts. Inputs data for tracking,… more
    HCA Healthcare (10/13/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Nurse OR a current Texas Licensed Vocational Nurse . B. Training and Experience: Three years clinical... Nurse . B. Training and Experience: Three years clinical nursing experience in general medical/surgical setting or appropriate… more
    Medical Center Hospital (10/18/25)
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  • Clinical Data Services Representative

    ManpowerGroup (Austin, TX)
    …Registered Nurse , you will be part of the Operations Department supporting clinical review processes. The ideal candidate will have strong analytical skills, ... abilities which will align successfully in the organization. **Job Title:** Registered Nurse **Location:** Austin, TX **Pay Rate:** Up to $40.74 **What's the Job?**… more
    ManpowerGroup (11/29/25)
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