• University Health (San Antonio, TX)
    … Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse (s) ( RN ) are highly preferred. ... Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set ( HEDIS ) metrics, Utilization Review Accreditation Commission (URAC), and the… more
    job goal (12/04/25)
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  • RN HEDIS Review Nurse

    Amergis (Houston, TX)
    Amergis Healthcare Staffing is seeking a Pediatric Registered Nurse ( RN ) to assume responsibility and accountability for the application of the nursing ... process and the delivery of patient care. The Pediatric Registered Nurse ( RN ) demonstrates ability to make clinical judgments in an effective and efficient… more
    Amergis (12/03/25)
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  • Remote Telehealth Compact and State Specific - PM-…

    Insight Global (Austin, TX)
    …* 1+ yr in care management/ HEDIS /Stars, women's health, or imaging navigation * Active Registered Nurse ( RN ) Compact License and RN License in one ... new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct...* Minimum of 2+ years' experience working as a Registered Nurse , * 1+ year of experience… more
    Insight Global (09/19/25)
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  • VP, Healthcare Services

    Molina Healthcare (Fort Worth, TX)
    …education and experience. * At least 7 years health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Office suite (including Excel), and applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (11/27/25)
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