• Utilization Review Case…

    UTMB Health (Galveston, TX)
    Utilization Review Case Mgr - Galv. Campus Utilization Mgt (10hr shifts) **Galveston, Texas, United States** Nursing & Care Management UTMB Health ... and criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and retrospectively… more
    UTMB Health (09/24/25)
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  • Utilization Review Case…

    UTMB Health (Webster, TX)
    Utilization Review Case Mgr -CMC-Clear Lake Center; M-F, 3:00 PM - 11:00 PM **Webster, Texas, United States** **New** Nursing & Care Management UTMB ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… more
    UTMB Health (10/22/25)
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  • Telephonic Nurse Case Mgr II

    Elevance Health (Houston, TX)
    **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure… more
    Elevance Health (10/16/25)
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  • Unit Mgr Clinical Operations

    Health Care Service Corporation (Richardson, TX)
    …years clinical experience with direct clinical care to the consumer. + 2 years utilization review / managed care experience. + Leadership skills. + Knowledge of ... clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring,… more
    Health Care Service Corporation (10/18/25)
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