• Registered Nurse Clinical Reviewer

    HCA Healthcare (Houston, TX)
    …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Clinical Reviewer to join our healthcare family. **Benefits** The Woman's ... their passion for patient care. Apply today for our Registered Nurse Clinical Reviewer opportunity. **Job Summary and Qualifications** We are seeking a… more
    HCA Healthcare (03/16/25)
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  • Nurse Reviewer I

    Elevance Health (Grand Prairie, TX)
    ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
    Elevance Health (05/22/25)
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  • Clinical Nurse Reviewer - STAR Kids…

    CVS Health (Austin, TX)
    …And we do it all with heart, each and every day. **Position Summary** The Clinical Nurse Reviewer will serve as the designated lead for STAR Kids rolling month ... the full oversight, coordination, and execution of the audit process. The nurse will work collaboratively with service coordination teams, quality assurance, and… more
    CVS Health (05/25/25)
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  • RN Clinical Reviewer

    HCA Healthcare (Kingwood, TX)
    …step in your career path, we encourage you to apply for our Registered Nurse RN Emergency Department opening. We review all applications. Qualified candidates ... you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest...as assigned. What qualification you will need: + Registered Nurse , prefer at least one year of experience +… more
    HCA Healthcare (05/15/25)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Houston, TX)
    …you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... our colleagues in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage of your career.… more
    HCA Healthcare (05/15/25)
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  • 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 and ... 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse :** . ** Review Medical Records:** Thoroughly evaluate patient… more
    Adecco US, Inc. (05/01/25)
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  • Utilization Review Nurse (Position…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
    Houston Methodist (05/15/25)
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  • Bariatric Nurse Navigator RN

    HCA Healthcare (Houston, TX)
    …you passionate about delivering patient-centered care?** Submit your application for Bariatric Nurse Navigator RN position and spend more time at the bedside with ... Houston Healthcare Medical Center! **Job Summary and Qualifications** The Bariatric Nurse Navigator / Coordinator is responsible for the coordination of efficient,… more
    HCA Healthcare (04/20/25)
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  • Clinical Review Nurse - Concurrent…

    Centene Corporation (Austin, TX)
    …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
    Centene Corporation (05/25/25)
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  • Appeals Licensed Practical Nurse

    Evolent (Austin, TX)
    …client policies and procedures while complying with timeliness guidelines. Our clinical nurse reviewer team values collaboration, continuous learning, and a ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...set up the appeal, physicians and other clinicians who review the appeal, the claims department to review more
    Evolent (05/16/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Fort Worth, TX)
    …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any… more
    Molina Healthcare (05/21/25)
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  • Emergency Nurse Manager Days, Mansfield,…

    AdventHealth (Mansfield, TX)
    …and/or coordinates programs such as Shared Governance Program, which may include Nurse Advisory Council, Peer Review , Evidence-Based Practice (EBP), and ... mirror peak census times with a high focus on nurse leader visits on days and nights. Discuss further...career with AdventHealth, named in 2018 by Becker's Hospital Review as one of the "150 Top Places to… more
    AdventHealth (05/21/25)
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  • Certified Nurse Anesthetist-Recruitment…

    Veterans Affairs, Veterans Health Administration (Dallas, TX)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... or postoperative settings. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
    Veterans Affairs, Veterans Health Administration (05/15/25)
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  • Trauma Care Unit Registered Nurse

    HCA Healthcare (Austin, TX)
    …to you, we encourage you to apply for our Trauma Care Unit Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates ... Join our Team as a(an) Trauma Care Unit Registered Nurse and access programs to assist with every stage...maintain IV fluids and IV medications . You will review all new physician orders, ensure that orders are… more
    HCA Healthcare (05/01/25)
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  • Advanced Practice Nurse (Certified…

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …basis until positions are filled. Responsibilities Duties and responsibilities of the Nurse Anesthetist include, but are not limited to the following: Performs ... and cleaning of anesthesia equipment. Translates the principles of professional nurse anesthesia practice into appropriate patient care. Performs the pre-anesthetic… more
    Veterans Affairs, Veterans Health Administration (05/01/25)
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  • HCSS Sexual Assault Nurse Examiner…

    UTMB Health (Galveston, TX)
    HCSS Sexual Assault Nurse Examiner (Registered Nurse ) **Galveston, Texas, United States** **Hot** 1 additional location United States Nursing & Care Management ... Office of the Attorney General of Texas (OAG) requirements for Sexual Assault Nurse Examiner (SANE) certification and re-certification + Submit paperwork to the OAG… more
    UTMB Health (04/30/25)
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  • Trauma ICU Registered Nurse

    HCA Healthcare (Austin, TX)
    …in your career path, we encourage you to apply for our Trauma ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... have the career opportunities as a(an) Trauma ICU Registered Nurse you want in your current role? We invest...maintain IV fluids and IV medications * You will review all new physician orders, ensure that orders are… more
    HCA Healthcare (04/09/25)
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  • ICU Registered Nurse

    HCA Healthcare (Austin, TX)
    …is important to you, we encourage you to apply for our CVICU Registered Nurse opening. Our team will promptly review your application. Highly qualified ... their positions. Join our Team as a(an) ICU Registered Nurse and access programs to assist with every stage...maintain IV fluids and IV medications * You will review all new physician orders, ensure the orders are… more
    HCA Healthcare (03/23/25)
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  • Nurse Practitioner NICU PRN

    HCA Healthcare (Brownsville, TX)
    …provides satisfaction and personal growth, we encourage you to apply for our Nurse Practitioner NICU PRN opening. We review all applications. Qualified ... Do you have the PRN career opportunities as a(an) Nurse Practitioner NICU PRN you want with your current...Practitioners collaborate with physicians and interdisciplinary team members to review the plan of care, intervene when necessary to… more
    HCA Healthcare (03/05/25)
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  • Flight Registered Nurse (RN), Killeen, TX…

    Vighter Medical Group (Killeen, TX)
    Flight Registered Nurse (RN), Killeen, TX (PT) Job Details Job Location Killeen, TX - Killeen, TX Position Type Full Time Education Level Registered Nurse (RN) ... Any Job Category Health Care Description Title: Flight Registered Nurse (RN) Location: Killeen, Texas Position Type: Part time...repatriated to their countries of origin. The RN will review medical records to determine if detainees are capable… more
    Vighter Medical Group (03/04/25)
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