• Utilization Review Nurse

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... H&Ps and admitting orders of all direct, transfer, and emergency care patients designated for admission to ensure compliance...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (06/06/25)
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  • Registered Nurse Case Manager…

    Prime Healthcare (Weslaco, TX)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/registered- nurse -case-manager utilization ... Weslaco, Texas. With 227 beds, the community hospital specializes in emergency care, orthopedics, obstetrics and gynecology, wound care, surgery, cardiology,… more
    Prime Healthcare (06/06/25)
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  • Nurse Manager II - Cath Lab

    Texas Health Resources (Dallas, TX)
    ** Nurse Manager - Cath Lab** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... care. We specialize in cancer care, cardiology, neurosciences, women's services, and emergency medicine. Our hospital is home to a renowned Level III Neonatal… more
    Texas Health Resources (06/14/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Austin, TX)
    …TX RN license Preferred: + Certification in case management, nursing, or utilization review preferred. St. David's North Austin Medical Center ... opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** EDUCATION AND EXPERIENCE:… more
    HCA Healthcare (06/21/25)
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  • Nurse Manager II - Surgery Pre/Post Op

    Texas Health Resources (Fort Worth, TX)
    ** Nurse Manager II - Surgery Pre/Post Op** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... in cardiovascular care, high-risk obstetrics, gynecology, neurosciences, sports medicine and emergency medicine. Plus, we have certified programs in Advanced Hip &… more
    Texas Health Resources (06/07/25)
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  • Nurse Manager II-ICU

    Texas Health Resources (Cleburne, TX)
    ** Nurse Manager II-ICU** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... also an accredited Chest Pain Center and offer exceptional emergency care 24/7. Texas Health Cleburne is a Joint...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
    Texas Health Resources (05/23/25)
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  • Nurse Manager - CV ICU

    Texas Health Resources (Dallas, TX)
    ** Nurse Manager - CV ICU** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... 1966. We specialize in cancer care, cardiology, neurosciences, women's services and emergency medicine. Plus, we're a renowned Level III neonatal intensive care… more
    Texas Health Resources (04/24/25)
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  • Nurse Manager - Nursing Operations

    Texas Health Resources (Fort Worth, TX)
    ** Nurse Manager - Nursing Operations** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... and adult critical care, and we have a 24-hour emergency department. Plus, we are a certified Primary Heart...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
    Texas Health Resources (06/05/25)
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  • Nurse Scientist

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... plan, and outline priority initiatives based on hospital quality measures. The Nurse Scientist position ensures the highest quality of scholarly and scientific… more
    Houston Methodist (05/23/25)
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  • Nurse Manager Labor and Delivery

    Texas Health Resources (Fort Worth, TX)
    ** Nurse Manager Labor and Delivery** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize...Code of Ethics. Complies with hospital policies and with Nurse Practice Act. Active in Reach Out THR and… more
    Texas Health Resources (04/12/25)
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  • Registered Nurse Case Management

    HCA Healthcare (Houston, TX)
    …years recent acute care experience required + Minimum of two (2) years of utilization review /case management experience and minimum of one (1) year experience in ... Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Management you can be a part of change. **Benefits** HCA Houston Healthcare… more
    HCA Healthcare (06/21/25)
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  • Transition of Care, Licensed Vocational…

    CVS Health (Austin, TX)
    …compliance driven timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization ... status which has resulted in the necessity of an emergency department visit, inpatient, skilled nursing, or rehabilitative stay....who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
    CVS Health (06/14/25)
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  • Nurse Manager of Med Surg Oncology

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) Nurse Manager of Med Surg Oncology you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Nurse Manager of Med Surg Oncology where your passion...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
    HCA Healthcare (06/21/25)
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  • Nurse Manager of Critical Care ICU

    HCA Healthcare (San Antonio, TX)
    …purpose and integrity. We care like family! Jump-start your career as a(an) Nurse Manager of Critical Care ICU today with Methodist Hospital Stone Oak. **Benefits** ... vary by location._** Come join our team as a(an) Nurse Manager of Critical Care ICU. We care for...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
    HCA Healthcare (06/21/25)
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  • Registered Nurse - Call Center Women's…

    Option Care Health (Austin, TX)
    …relate to telephonic nursing support and management. + Provide excellent communication to nurse colleagues regarding patients on service with review of current ... and interfacing with patient's physician. + Provide patient education through utilization of nursing assessment process. This involves the specific educational needs… more
    Option Care Health (06/17/25)
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  • RN Wound Care Nurse Navigator

    AdventHealth (Burleson, TX)
    …winning facility and departments including "Great Place to Work" by Becker's Hospital Review and Gallup. + Work with the latest technology and top experts including ... while on our journey to Magnet status and Pathways designated. + Designated Emergency Center of Excellence recognizing our facility as a high-performing emergency more
    AdventHealth (06/13/25)
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  • Registered Nurse

    MTC (Livingston, TX)
    …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... who become ill or injured; confer with physician to refer detainees to the emergency room as required by their condition and document in medical record or other… more
    MTC (06/13/25)
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  • Director - Case Management & Social Services…

    Houston Methodist (Houston, TX)
    …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs… more
    Houston Methodist (05/02/25)
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  • Case Manager (RN) - PRN

    Houston Methodist (The Woodlands, TX)
    …Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use,… more
    Houston Methodist (05/14/25)
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  • Certified Case Manager/RN - Willowbrook

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
    Houston Methodist (05/09/25)
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