• Utilization Review Nurse

    Adecco US, Inc. (Houston, TX)
    Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person / on site. Please read below ... 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse :** . **...* Bachelors' degree in nursing preferred * Current, unrestricted RN License in Texas . 2 to 3 years… more
    Adecco US, Inc. (05/01/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Utilization Review Program and makes appropriate referrals to designated Physician...Advisors. Education: Holds a current Texas license as a Registered Nurse . Training and Experience: Three years… more
    Medical Center Hospital (03/22/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Austin, TX)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) or State Clinical Social Worker/Counseling… more
    Molina Healthcare (05/07/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management/ review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (05/04/25)
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  • Care Review Clinician, PA ( RN )…

    Molina Healthcare (Austin, TX)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of… more
    Molina Healthcare (04/11/25)
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  • Care Review Clinician, Inpatient…

    Molina Healthcare (San Antonio, TX)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... care/medical experience. R **equired License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. MULTI… more
    Molina Healthcare (05/09/25)
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  • Care Review Clinician, Prior Authorization…

    Molina Healthcare (Dallas, TX)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse more
    Molina Healthcare (04/05/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …your career with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, ... immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work...Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be… more
    BAYADA Home Health Care (04/02/25)
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  • Program Mgr UR/Case Management - CMC - Clear Lake…

    UTMB Health (Friendswood, TX)
    …from an accredited school of Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum of five (5) years full-time wage ... quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical...earning experience as a professional nurse in a healthcare setting with at least two… more
    UTMB Health (04/04/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager you want in...license Preferred: + Certification in case management, nursing, or utilization review preferred. St. David's North Austin… more
    HCA Healthcare (05/07/25)
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