• Utilization Review Nurse

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid, and Managed… more
    Houston Methodist (07/12/25)
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  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management, Nurse Case Manager/Caseworker ... Summary The Registered Nurse Utilization Management Registered Nurse...development in practice with increased levels of self-direction. Uses Utilization Management criteria to perform basis review more
    Veterans Affairs, Veterans Health Administration (07/16/25)
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  • Utilization Management Nurse (RN)…

    Actalent (San Antonio, TX)
    …+ 2+ years of utilization management, concurrent review , prior authorization, utilization review , case management, and discharge planning is must + ... Urgent Hiring for "Remote Clinical Review Nurses"in Texas! *Must be located in Texas*...Texas! *Must be located in Texas* Job Description: + Review approximately 20 cases a day for medical necessity.… more
    Actalent (07/19/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    …personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (06/26/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (06/21/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Tomball, TX)
    …Tomball we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of your ... certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue to...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (06/26/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Corpus Christi, TX)
    …Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager PRN? At Corpus Christi Medical Center, you come first. HCA ... a difference. We are looking for a dedicated Registered Nurse Case Manager PRN like you to...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (06/21/25)
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  • Case Manager, Registered Nurse

    CVS Health (Austin, TX)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
    CVS Health (07/18/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …important to you, we encourage you to apply for our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management… more
    HCA Healthcare (06/21/25)
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  • Registered Nurse Rehabilitation Case

    HCA Healthcare (El Paso, TX)
    Case Manager serves as a liaison between medical staff, administration, utilization review , nursing, finance, medical records and other ancillary departments ... us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Rehabilitation Case Manager to join our healthcare family. **Benefits** Las… more
    HCA Healthcare (06/21/25)
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