• RN Care Review

    Molina Healthcare (TX)
    JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for clinical member services review assessment processes. Responsible ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • RN UM Care Review

    Molina Healthcare (San Antonio, TX)
    JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Austin, TX)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/01/25)
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  • Care Review Clinician

    Molina Healthcare (TX)
    For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Houston, TX)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Dallas, TX)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Fully remote opportunity for a TX licensed RN with Utilization Management experience to join our Prior Authorization reviewing team. Previous UM… more
    Molina Healthcare (10/29/25)
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  • Care Review Clinician

    Molina Healthcare (San Antonio, TX)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Fort Worth, TX)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/26/25)
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  • Registered Nurse ( RN

    HealthTrust Workforce Solutions (Austin, TX)
    …Our partnering facility is seeking a qualified Registered Nurse ( RN )- Vascular Access- Full Time clinician . HealthTrust Offers: + Customizable Pay ... **Entrust Your Career to HealthTrust!** ** Registered Nurse ( RN )- Vascular...responsible for the anticipation, planning, coordination, and provision of care for the patient while performing and monitoring the… more
    HealthTrust Workforce Solutions (11/13/25)
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  • HCSS Sexual Assault Nurse Examiner…

    UTMB Health (Galveston, TX)
    HCSS Sexual Assault Nurse Examiner ( Registered Nurse ) **Galveston, Texas, United States** 1 additional location United States Nursing & Care Management ... the department + Performs other related duties as required. Required Education / Experience: + Registered Nurse for two or more years. + Registered Nurse more
    UTMB Health (11/15/25)
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  • Registered Nurse Nursing Informatics…

    HCA Healthcare (Houston, TX)
    …provides satisfaction and personal growth, we encourage you to apply for our RN Nursing Informatics PRN opening. We review all applications. Qualified candidates ... Do you have the PRN career opportunities as a(an) RN Nursing Informatics PRN you want with your current...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (11/16/25)
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  • Nurse Clinician II ( RN )…

    UTMB Health (Cleveland, TX)
    Nurse Clinician II ( RN ) - CASUAL...discharge, and transfer procedures. + Using the nursing plan of care in daily assignments, able to review and, ... - Bell Unit **Cleveland, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2504513 The mission...school or equivalent. + Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational … more
    UTMB Health (08/20/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
    Highmark Health (11/14/25)
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  • Operating Room Nurse Clinician III…

    UTMB Health (League City, TX)
    Operating Room Nurse Clinician III - Victory Lakes (Casual Appointment/ 11a - 11p) **League City, Texas, United States** Nursing & Care Management UTMB ... Requisition # 2502687 **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room,...in assigned specialty population. Serves as a resource for Nurse Clinician I or II. Can manage… more
    UTMB Health (11/13/25)
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  • Operating Room Nurse Clinician III

    UTMB Health (Galveston, TX)
    Operating Room Nurse Clinician III - Galveston **Galveston, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2506298 ... **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room,...in assigned specialty population. Serves as a resource for Nurse Clinician I or II. Can manage… more
    UTMB Health (11/12/25)
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  • Denials Prevention Specialist, Clinician

    Datavant (Austin, TX)
    …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • Learning Institute Coordinator RN -Days

    HCA Healthcare (Coppell, TX)
    **Description** **Learning Institute Coordinator - Registered Nurse / RN - (Texas Two-step Instructor)** Shift: Full Time, Days (Monday - Friday) Introduction ... regarding learning deficiencies What qualifications you will need: + ( RN ) Registered Nurse + Bachelors...encourage you to apply for our Registered Nurse Learning Institute Coordinator opening. We review more
    HCA Healthcare (09/12/25)
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  • RN Wound / Ostomy / Continence FT

    Houston Methodist (Nassau Bay, TX)
    …of the hospital policies and procedures as well as regulatory guidelines. As a nurse clinician , the RN Wound, Ostomy, Continence position integrates ... Ostomy Continence position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical care ...or related area **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (11/06/25)
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  • Donor Call Center Coordinator RN

    Catholic Health Initiatives (Houston, TX)
    …order to maintain an organized and efficient program and ensure quality patient care . **Essential Functions** + Review medical information, schedule testing, ... ICU utilization and document variances. + Serve as a clinician in the care of this complex...of this complex patient population, initiating outpatient appointments and review of labs with identification and treatment of abnormal… more
    Catholic Health Initiatives (11/07/25)
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  • Clinical Research Nurse - Surgery

    Houston Methodist (Houston, TX)
    …acute care or clinical research experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Clinical Research Nurse (CRN) position is licensed clinician ...model of clinical practice. The CRN provides direct patient care effectively and efficiently to research patients under the… more
    Houston Methodist (11/11/25)
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