• Care Review Clinician

    Molina Healthcare (Houston, TX)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (12/20/24)
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  • Care Review Clinician , PA…

    Molina Healthcare (Houston, TX)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
    Molina Healthcare (03/07/25)
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  • Operating Room Nurse Clinician III…

    UTMB Health (League City, TX)
    Operating Room Nurse Clinician III - Victory Lakes **League City, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2501122 ... permit to practice in Texas. Current BLS required. **_JOB SUMMARY:_** **Competent Clinician ** . Possesses knowledge and skill to meet standards for competent… more
    UTMB Health (03/06/25)
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  • Sr Specialist, Quality Improvement (RN) Remote

    Molina Healthcare (Houston, TX)
    …barriers to care ); preparation for Quality Improvement Compliance surveys; preparation and review of potential quality of care and critical incident cases; ... to focus on parts of the process where a clinician 's perspective would be valuable to uncover process gaps...Experience** 5 - 7 years hospital clinical experience and prior managed care . Excellent professional writing skills,… more
    Molina Healthcare (03/19/25)
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