• PharmaCord (Austin, TX)
    …experience with relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management , a plus. ... never send a check (electronic or physical) to purchase home office equipment. If you receive any suspicious communication...Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are… more
    Upward (08/01/25)
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  • Houston Methodist Baytown Hospital (Baytown, TX)
    …skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsMaintains level of ... At Houston Methodist, the Registered Nurse (RN) PRN Cardiac Services position is a...to service line or hospital-wide initiatives in partnership with management . PEOPLE ESSENTIAL FUNCTIONSUses therapeutic communication, which includes active… more
    Talent (10/01/25)
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  • Conifer Revenue Cycle Solutions (Frisco, TX)
    …development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding ... with Medicare Part B Knowledge of disease pathophysiology and drug utilization Knowledge of MS-DRG classification and reimbursement structures PC/Systems literate… more
    Talent (09/15/25)
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  • Utilization Management Nurse

    Humana (Austin, TX)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • SNF Utilization Management RN…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Registered Nurse - Home Based…

    Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
    …to assist in care management . Collaborates with the High Risk Care Coordinators, Home Telehealth, and or other referrals for care management . VA offers a ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Licensed Vocational Nurse - Welcome…

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …the EDRP application. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The ... primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) is to perform assigned duties in a manner that promotes quality health care, positive… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge planning ... management functions into the patient care, discharge, and home planning processes in collaboration with other hospital departments, external service… more
    HCA Healthcare (09/20/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** HCA Houston… more
    HCA Healthcare (09/19/25)
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  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Fort Worth, TX)
    …receptive including home , nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and provide ... 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health,...home health as a licensed clinician, especially in management of chronic conditions + Experience with underserved populations… more
    Molina Healthcare (09/17/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... integrity. We care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare Northwest. **Benefits** HCA Houston… more
    HCA Healthcare (09/19/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... 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 career.… more
    HCA Healthcare (08/16/25)
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  • Field Nurse Practitioner (Beaumont, TX)

    Molina Healthcare (Beaumont, TX)
    …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
    Molina Healthcare (10/01/25)
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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 Healthcare ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (09/19/25)
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  • Case Manager, Registered Nurse - Oncology…

    CVS Health (TX)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Registered Nurse RN Case Manager

    HCA Healthcare (Webster, TX)
    …Healthcare Clear Lake have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Management you can be a part of change. **Benefits** HCA ... of nursing and improve positive outcomes for your patients as a (an) Registered Nurse RN Case Management . We want your knowledge and expertise! **Job Summary… more
    HCA Healthcare (10/03/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Corpus Christi, TX)
    …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager position and spend more time at the bedside with ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/09/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Conroe, TX)
    …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 career. ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/30/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Houston, TX)
    management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...care in nursing homes, skilled nursing facilities (SNF) and home settings, or supporting a Cardiologist practice. The responsibilities… more
    ChenMed (09/26/25)
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