• Utilization Management Nurse

    CVS Health (Austin, TX)
    …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... Clinical Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100%… more
    CVS Health (01/01/26)
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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...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
    Humana (01/13/26)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
    CVS Health (12/30/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …to work Monday through Friday, 10am to 7pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...10:00am to 7:00pm eastern time with occasional holiday rotation. Utilization Management is a 24/7 operation and… more
    CVS Health (12/28/25)
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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 (12/12/25)
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  • Utilization Review Case Mgr - CMC - Clear…

    UTMB Health (Webster, TX)
    …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
    UTMB Health (12/12/25)
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  • Centralized Utilization Review Manager

    Houston Methodist (Katy, TX)
    Utilization Review department to ensure efficient, high-quality, and compliant utilization management practices across the organization. This position ensures ... preferred **EXPERIENCE** + Five years' experience in inpatient case management , social work or utilization management...leadership abilities **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure -… more
    Houston Methodist (01/14/26)
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  • Director Centralized Utilization Review

    Houston Methodist (Katy, TX)
    …is responsible for strategic, administrative, and operational leadership for the Utilization Management (UM) department across the Houston Methodist system. ... recognized medical necessity review guidelines **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas Board of… more
    Houston Methodist (01/14/26)
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  • Charge Registered Nurse (RN) II…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN), who, as an experienced clinician, functions at the ... leadership skills **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management more
    Houston Methodist (01/10/26)
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  • Registered Nurse -Community Living…

    Veterans Affairs, Veterans Health Administration (Big Spring, TX)
    …during the open period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
    Veterans Affairs, Veterans Health Administration (10/22/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …HCA Houston 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** ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want...case management scope of services including + Utilization Management supporting medical necessity and denial… more
    HCA Healthcare (12/30/25)
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  • Registered Nurse -Wound Care

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    Summary The Registered Nurse -Wound Care is responsible and accountable for all elements of the nursing process when providing and/or supervising the ... management of patients/residents with acute and chronic wounds across...across clinical practice settings. Responsibilities Major duties for the Registered Nurse -Wound Care include, but are not… more
    Veterans Affairs, Veterans Health Administration (01/14/26)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Cypress, TX)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Registered Nurse Case Manager PRN where your...case management scope of services including + Utilization Management supporting medical necessity and denial… more
    HCA Healthcare (12/10/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …with members of the interdisciplinary team. Responsibilities RESPONSIBILITIES/ DUTIES: 1. Oncology/Hematology Registered Nurse (RN) is a clinical expert who uses ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/14/26)
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  • Registered Nurse Case Manager

    HCA Healthcare (Pasadena, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse Case Manager where your passion...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
    HCA Healthcare (01/11/26)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Round Rock, TX)
    …nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** St. ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
    HCA Healthcare (12/21/25)
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  • Registered Nurse Case Manager PRN

    HCA Healthcare (Austin, TX)
    …South Austin Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management more
    HCA Healthcare (12/03/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …at St. David's Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits** St. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager. We want your...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
    HCA Healthcare (11/07/25)
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  • Registered Nurse RN Case Manager

    HCA Healthcare (Brownsville, TX)
    …at Valley Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** ... improve positive outcomes for your patients as a (an) Registered Nurse RN Case Manager. We want...patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in alignment… more
    HCA Healthcare (11/14/25)
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  • Registered Nurse Case Manager…

    HCA Healthcare (Austin, TX)
    …at St. David's Healthcare have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager Observation you can be a part of change. ... practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Case Manager Observation. We want your knowledge and expertise!… more
    HCA Healthcare (01/13/26)
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