• Registered Nurse Clinical Reviewer

    HCA Healthcare (Houston, TX)
    …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Clinical Reviewer to join our healthcare family. **Benefits** The Woman's ... their passion for patient care. Apply today for our Registered Nurse Clinical Reviewer opportunity. **Job Summary and Qualifications** We are seeking a… more
    HCA Healthcare (03/16/25)
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  • Nurse Reviewer I (US)

    Elevance Health (Grand Prairie, TX)
    ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
    Elevance Health (05/28/25)
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  • Nurse Reviewer I

    Elevance Health (Grand Prairie, TX)
    ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
    Elevance Health (05/22/25)
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  • Registered Nurse Clinical Reviewer

    HCA Healthcare (Conroe, TX)
    …next step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in what… more
    HCA Healthcare (05/31/25)
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  • Clinical Nurse Reviewer - STAR Kids…

    CVS Health (Austin, TX)
    …And we do it all with heart, each and every day. **Position Summary** The Clinical Nurse Reviewer will serve as the designated lead for STAR Kids rolling month ... the full oversight, coordination, and execution of the audit process. The nurse will work collaboratively with service coordination teams, quality assurance, and… more
    CVS Health (05/25/25)
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  • RN Clinical Reviewer

    HCA Healthcare (Kingwood, TX)
    …step in your career path, we encourage you to apply for our Registered Nurse RN Emergency Department opening. We review all applications. Qualified candidates ... you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest...as assigned. What qualification you will need: + Registered Nurse , prefer at least one year of experience +… more
    HCA Healthcare (05/15/25)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Houston, TX)
    …you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... our colleagues in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage of your career.… more
    HCA Healthcare (05/15/25)
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  • Utilization Review Nurse (Position…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
    Houston Methodist (05/15/25)
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  • Bariatric Nurse Navigator RN

    HCA Healthcare (Houston, TX)
    …you passionate about delivering patient-centered care?** Submit your application for Bariatric Nurse Navigator RN position and spend more time at the bedside with ... Houston Healthcare Medical Center! **Job Summary and Qualifications** The Bariatric Nurse Navigator / Coordinator is responsible for the coordination of efficient,… more
    HCA Healthcare (04/20/25)
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  • Appeals Licensed Practical Nurse

    Evolent (Austin, TX)
    …client policies and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, and a ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...set up the appeal, physicians and other clinicians who review the appeal, the claims department to review more
    Evolent (05/16/25)
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