• Clinical Appeals Nurse

    Molina Healthcare (Houston, TX)
    … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Houston, TX)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... more
    Molina Healthcare (01/25/25)
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  • Manager - Case Management and Social Services

    Houston Methodist (Houston, TX)
    …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure ... more
    Houston Methodist (03/11/25)
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  • UM Reviewer

    Apex Health Solutions (Houston, TX)
    …of Nursing) Licenses/Certifications: Current, unrestricted Texas licensure to practice as a Registered Nurse or Licensed Vocational Nurse required and ... more
    Apex Health Solutions (03/09/25)
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