• Utilization Review RN…

    Baylor Scott & White Health (Dallas, TX)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... vary based upon position type and/or level **Job Summary** + You will review patient cases for medical necessity and establish service suitability. You'll educate… more
    Baylor Scott & White Health (08/29/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …of Austin 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 ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (09/18/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …at St. David's Round Rock Medical Center! **Job Summary and Qualifications** **The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care...encourage you to apply for our Registered Nurse Case Manager opening. We review all… more
    HCA Healthcare (08/26/25)
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  • RN , Manager, Utilization Management…

    Humana (Austin, TX)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... Previous experience in utilization management and/or utilization review ....15 associates. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
    Humana (09/28/25)
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  • Director Utilization Management-Clinical…

    Texas Health Resources (Arlington, TX)
    … Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management-Clinical Review _Are you looking...+ Core work hours: Monday-Friday 8:00a-5:00p. This position is hybrid remote/onsite. Vast majority of time will be remote,… more
    Texas Health Resources (09/25/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Austin, TX)
    …related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review … more
    Centene Corporation (10/02/25)
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  • Care Manager RN

    Covenant Health (Lubbock, TX)
    …**Required Qualifications:** + Associate's Degree - Nursing degree/diploma upon hire + Texas Registered Nurse License upon hire - if practicing within this ... **Description** **Care Manager RN ** **The Care Manager RN provides...Inpatient setting. + IRR or annual competency testing in Utilization Review . **Preferred Qualifications:** + Bachelor's Degree… more
    Covenant Health (09/24/25)
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  • Nurse Reviewer I

    Elevance Health (Houston, TX)
    ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... commuting distance from an office. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (09/26/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    **Telephonic Nurse Case Manager II** **$3000 Sign-On Bonus** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of ... onboarding and skill development.** **_Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (10/02/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Houston, TX)
    …distance from an office** . Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... professional treatment health benefits through live telephonic or written review . **How you will make an impact:** + Uses...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
    Elevance Health (09/26/25)
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