• Conifer Revenue Cycle Solutions (Frisco, TX)
    …supervisory experience CERTIFICATES, LICENSES, REGISTRATIONS Preferred: Active state Registered Nurse license or Certified Coding Specialist credential ... and CDI Lead No. Indirect Reports (incl. titles) CDI Lead and CDI Specialist KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be… more
    Talent (09/15/25)
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  • Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point ... this position is able to cover a multitude of utilization review functions through point of entry,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
    Houston Methodist (11/02/25)
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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...Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse… more
    Medical Center Hospital (10/18/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal… more
    Molina Healthcare (09/06/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
    Houston Methodist (10/29/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Dallas, TX)
    …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual...we encourage you to apply for our Clinical Rehab Specialist opening. We promptly review all applications.… more
    HCA Healthcare (09/27/25)
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  • Clinical Documentation Specialist - RN…

    Houston Methodist (Houston, TX)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
    Houston Methodist (10/29/25)
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  • Quality Outcomes Specialist - Perioperative

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care ... compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement, peer review , patient safety, risk… more
    Houston Methodist (11/02/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Houston, TX)
    …explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities… more
    ChenMed (09/26/25)
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  • Occupational Health RN - FT Smith

    Houston Methodist (Houston, TX)
    …Health Nurse (ABOHN) **OR** + COHN/S - Certified Occupational Health Nurse Specialist (ABOHN) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills ... At Houston Methodist, the Occupational Health Nurse position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical… more
    Houston Methodist (10/17/25)
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