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RN Clinical Reviewer: Utilization & Care Coordination

Job in Pleasanton, Atascosa County, Texas, 78064, USA
Listing for: University Health
Full Time position
Listed on 2026-08-30
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

University Health is seeking a Registered Nurse to oversee case management for Community First Health Plan (CFHP) members, ensuring access to needed services and coordinated care across the health system.

The role focuses on resource allocation, cost and quality oversight, and collaboration with primary care physicians, family, members, and multidisciplinary teams to identify educational and discharge needs within the continuum of care.

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