• Prior Authorization RN

    Humana (Austin, TX)
    …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
    Humana (12/18/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (San Antonio, TX)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... , managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
    Molina Healthcare (11/23/25)
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  • Inpatient Advanced Practice Registered

    MD Anderson Cancer Center (Houston, TX)
    …* : Degree may be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to ... Board of Nursing to function as an Advanced Practice Registered Nurse . Upon Hire * Required: APRN... Pract. Upon Hire or * Required: APNPAdv Pract Nurse /Prescriptive Upon Hire or * Required: Related authorization more
    MD Anderson Cancer Center (12/18/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Fort Worth, TX)
    …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. *… more
    Molina Healthcare (12/13/25)
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  • Advanced Practice Registered Nurse

    MD Anderson Cancer Center (Houston, TX)
    …by the National Cancer Institute. *Summary*: The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Oncology Fellowship is to promote and ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. * Graduate education and related Texas… more
    MD Anderson Cancer Center (12/16/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Austin, TX)
    …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
    Centene Corporation (12/19/25)
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  • Utilization Review Clinician - Behavioral Health

    Centene Corporation (Austin, TX)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... of care and services are medically appropriate + Performs prior authorization reviews related to mental health...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Centene offers a comprehensive benefits package including:… more
    Centene Corporation (12/11/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Austin, TX)
    …utilization/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted ... work schedules will include holidays and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care… more
    CVS Health (12/19/25)
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  • Advanced Practice Provider (APRN or PA) - Melanoma…

    MD Anderson Cancer Center (Houston, TX)
    … Oncology experience. *LICENSURE / CERTIFICATION* Required: Advanced Practice Registered Nurse All of the following: * Written authorization from the Texas ... Center, is seeking a Physician Assistant or Advanced Practice Registered Nurse to join our team in...Nurse from the Texas State Board of Nursing prior to 1/1/2003. * Graduate education and related Texas… more
    MD Anderson Cancer Center (12/09/25)
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  • Advanced Practice Provider (APRN or PA) - Clinical…

    MD Anderson Cancer Center (Houston, TX)
    … Oncology experience. *LICENSURE / CERTIFICATION* Required: Advanced Practice Registered Nurse All of the following: * Written authorization from the Texas ... of Clinical Cancer Prevention *is seeking an *Advanced Practice Registered Nurse (APRN)* or *Physician Assistant (PA)...Nurse from the Texas State Board of Nursing prior to 1/1/2003. * Graduate education and related Texas… more
    MD Anderson Cancer Center (12/18/25)
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