• Christus Health (Irving, TX)
    DescriptionSummary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper ... and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as... collaborates as necessary with other members of the health care team to ensure the above according to… more
    JobGet (01/12/25)
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  • Utilization Review - Case…

    Methodist Health System (Celina, TX)
    …respective agency for non- nurse professional * 2 years or more of health care experience; minimum 1 year acute hospital experience * Acute hospital case ... engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission...compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for … more
    Methodist Health System (01/11/25)
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  • Nurse Manager - GI Lab

    Texas Health Resources (Plano, TX)
    ** Nurse Manager - GI Lab** _Are you looking for...for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health Plano ... + Core work hours: Monday-Friday 8:00a - 5:00p Since 1991, Texas Health Plano has served the communities of Plano, Frisco, Carrollton, Addison, Richardson and… more
    Texas Health Resources (12/19/24)
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  • Nurse Manager I - Neuro Trauma ICU

    Texas Health Resources (Dallas, TX)
    ** Nurse Manager Nureo Trauma ICU** _Are you looking...for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ... Dallas + Core work hours: Monday-Friday 8:00a-5:00p For more than a half-century, Texas Health Presbyterian Hospital Dallas has been at the forefront of health more
    Texas Health Resources (11/30/24)
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  • Operating Room Registered Nurse

    HCA Healthcare (Dallas, TX)
    …any other healthcare provider. We are seeking an Operating Room Registered Nurse to join our healthcare family. **Benefits** Park Central Surgical Center, offers ... a total rewards package that supports the health , life, career and retirement of our colleagues. The...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (11/23/24)
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  • PRN OR Registered Nurse

    HCA Healthcare (Allen, TX)
    …and personal growth, we encourage you to apply for our PRN OR Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... have the career opportunities as a PRN OR Registered Nurse you want with your current employer? We have...Allen offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (10/29/24)
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  • OR Registered Nurse PRN

    HCA Healthcare (Mckinney, TX)
    …satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as an OR Registered Nurse PRN you want with your current employer? We...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (10/23/24)
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  • OR Registered Nurse PRN

    HCA Healthcare (Dallas, TX)
    …satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a OR Registered Nurse PRN you want with your current employer? We...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (10/23/24)
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  • Operating Room Registered Nurse

    HCA Healthcare (Dallas, TX)
    …your career path, we encourage you to apply for our Operating Room Registered Nurse opening. We review all applications. Qualified candidates will be contacted ... have the career opportunities as an Operating Room Registered Nurse you want in your current role? We invest...Spine, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (10/29/24)
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  • Director Care Management

    Methodist Health System (Dallas, TX)
    …of anticipated impact of external regulations and cost-containment efforts related to Utilization Review , Case Management. * Attains all agreed to goals ... required. * Master's degree in Nursing, Health Care Administration, Public Health , Business Administration, preferred. * Registered nurse graduated from an… more
    Methodist Health System (01/01/25)
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  • Medical Director

    Molina Healthcare (Dallas, TX)
    …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource… more
    Molina Healthcare (12/26/24)
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  • Case Coordinator - Denials

    Methodist Health System (Dallas, TX)
    …initiatives while supporting the mission, vision, value and strategic goals of Methodist Health System. Your Requirements: * Bachelors of Science degree in Nursing - ... REQUIRED for Nursing professionals * Current license from respective agency for non- nurse professionals- PREFERRED * CCM in Case Management - PREFERRED Your… more
    Methodist Health System (01/11/25)
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  • Home Health Clinical Manager

    HCA Healthcare (Irving, TX)
    **Description** **Introduction** We are seeking a Home Health Clinical Manager with Medical City Healthcare at Home to promote growth and unlock possibilities. At ... City Healthcare at Home, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
    HCA Healthcare (01/09/25)
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  • Care Transition Navigator FT

    Methodist Health System (Richardson, TX)
    …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Social Work; Texas Social Work license required * Registered Nurse with BSN preferred * 1 year of experience...with BSN preferred * 1 year of experience in health related setting * Hospital case management experience preferred… more
    Methodist Health System (12/21/24)
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  • Care Transition Navigator Sal

    Methodist Health System (Dallas, TX)
    …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience...with BSN preferred * 1 year of experience in health related setting * Hospital case management experience preferred… more
    Methodist Health System (01/03/25)
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  • Care Transition Navigator SAL

    Methodist Health System (Dallas, TX)
    …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience...with BSN preferred * 1 year of experience in health related setting * Hospital case management experience preferred… more
    Methodist Health System (11/26/24)
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  • Advanced Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (Dallas, TX)
    …coordinated care delivery model. Coordinates] with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... Location of the Position is: Radiation Oncology, VA North Texas Health Care System (VANTHCS) located in Dallas, TX. Responsibilities Total-Rewards-of-an-Allied-… more
    Veterans Affairs, Veterans Health Administration (01/12/25)
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  • PRN Case Manager

    Methodist Health System (Celina, TX)
    …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Bachelor's degree in Social Work, Master's degree in Social Work, Registered Nurse with BSN preferred. Hospital case management experience preferred * LMSW/LBSW, or… more
    Methodist Health System (12/05/24)
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  • Clinical Documentation Specialist

    Houston Methodist (Dallas, TX)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days… more
    Houston Methodist (12/03/24)
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  • COE CM Director, (RN required)

    Molina Healthcare (Dallas, TX)
    …establishing best practices and driving standardization and results across Molina Health Plans & Segments. **KNOWLEDGE/SKILLS/ABILITIES** + Review existing case ... Active, unrestricted State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care… more
    Molina Healthcare (12/12/24)
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