Top 258 Nurse Jobs in Mexia Tx

Clinical Review Nurse, RN
MotivHealth —Texas
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
- Travel reimbursement
- Wellness program
Quick Apply
3d
PASRR Nurse
Health & Human Services Comm —Mexia, TX
- $6,800 a month
- Online Application
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Opportunities for advancement
Quick Apply
4d
Vocational Nurse (LVN) - Boyd Unit
UTMB Health —Teague, TX
- Nursing
- LVN
- BLS Certification
Director of Nursing
Avir at Groesbeck —Groesbeck, TX
- Full-time
- CPR Certification
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
4d
Registered Nurse (RN) - ICU / Critical Care NIGHTS $10K SignOn - Parkview Regional Hospital
Parkview Regional Medical Center —Mexia, TX
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
7d
Local ICU (Intensive Care Unit) RN (Registered Nurse) in Mexia, TX - 1137158L
Medical Solutions —Mexia, TX
- Night shift
- RN License
- Critical & Intensive Care
- 1 year
- Health insurance
- Dental insurance
Quick Apply
Senior LTSS Service Care Manager (RN) - J01077
BravoTech —Texas
- $70.88 an hour
- Contract
- Nursing
- RN License
- Mid-level
Quick Apply
LPN LVN I
LaSalle Corrections —Groesbeck, TX
- $34 an hour
- Nursing
- Customer service
- Clinic experience
Quick Apply
Travel RN
Professional Case Management —Texas
- Travel nursing
- CPR Certification
- Nursing
- RN License
Quick Apply
PRN Home Infusion RN
ATULO HEALTH INC —Fairfield, TX
- Part-time
- Spanish
- RN License
- BLS Certification
- Flexible schedule
- Referral program
Quick Apply
PRN Registered Nurse – ED
Freestone Medical Center —Fairfield, TX
- PRN
- Nursing
- RN License
- PALS Certification
LVN (RHC)
Freestone Medical Center —Fairfield, TX
- Full-time
- Nursing
- LVN
- BLS Certification
RN – Med/Surg
Freestone Medical Center —Fairfield, TX
- Full-time
- Nursing
- RN License
- BLS Certification
LVN
Avir at Groesbeck —Groesbeck, TX
- Full-time
- CPR Certification
- LVN
- Long term care
- Paid holidays
- Health insurance
Quick Apply
4d
RN Emergency Services Days
Parkview Regional Hospital —Mexia, TX
- Acute care
- Nursing
- RN License
Assistant Manager
Limestone Medical Center —Groesbeck, TX
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
14d
Registered Nurse (RN) - Case Manager
Adaptive Home Health —Mexia, TX
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse I
LaSalle Corrections —Groesbeck, TX
- $38 an hour
- CPR Certification
- Nursing
- RN License
Quick Apply
PRN LPN LVN I
LaSalle Corrections —Groesbeck, TX
- $37 an hour
- Part-time
- Nursing
- LVN
- Customer service
Quick Apply
PRN Hospice RN- Teague
Reliant at Home —Teague, TX
- PRN
- CPR Certification
- Nursing
- RN License
Quick Apply

I want to receive the latest job alert for nurse in mexia tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Clinical Review Nurse, RN

MotivHealth -
Texas

Quick Apply

Job Details

Full-time
3 days ago

Benefits

Travel reimbursement
Wellness program
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Flexible schedule
Life insurance
Referral program
Retirement plan

Qualifications

RN License
Utilization management
Quality improvement
Resource utilization in healthcare
Acute care experience
Nurse Licensure Compact (NLC)

Full Job Description

The Clinical Review Nurse (RN) supports the organization’s care management function by conducting clinical reviews, ensuring appropriate utilization of medical services, and maintaining compliance with regulatory and plan-specific guidelines. This role bridges clinical expertise with administrative processes to promote quality, cost-effective healthcare outcomes for members.

This is a remote role open to candidates residing in Utah, Texas, or Arizona.

HOW YOU’LL MAKE AN IMPACT:

Clinical Review & Case Management

Perform prospective, concurrent, and retrospective medical necessity reviews for inpatient, outpatient, and ancillary services.
Apply evidence-based guidelines (e.g., MCG, InterQual) to determine medical necessity and appropriateness of care.
Collaborate with physicians, providers, and other healthcare professionals regarding clinical determinations.

Utilization Management

Ensure timely processing of pre-certification, prior authorization, and concurrent review requests.
Document clinical findings and review outcomes accurately within utilization management systems.
Identify potential quality-of-care issues and escalate appropriately.

Member Advocacy & Coordination

Support case management teams in coordinating care for members with complex health needs.
Assist in transitions of care to reduce unnecessary readmissions.
Provide education to members and providers on coverage, benefits, and clinical guidelines.

Compliance & Quality

Ensure adherence to regulatory requirements (state, federal, ERISA) and accreditation standards (URAC, NCQA, etc.).
Maintain confidentiality of Protected Health Information (PHI) in compliance with HIPAA.
Participate in audits, quality improvement initiatives, and staff training.

WHAT YOU BRING:

A Current, unrestricted Registered Nurse (RN) license for Utah or compact license.
Minimum 3+ years of clinical experience(acute care, utilization review, or case management preferred).
Prior Utilization Management experience in a TPA or health plan setting strongly desired
Working knowledge of medical necessity criteria (MCG, InterQual) preferred.
Familiarity with ERISA, DOL, and state/federal regulations governing TPA operations a plus.
Strong clinical assessment, critical thinking, and decision-making skills.
Excellent written and verbal communication skills.
Proficiency in EMR/UM software and Microsoft Office Suite.

HOW WE SUPPORT YOU:

5% annual bonus based on company profitability
Affordable health, vision, and dental insurance for you and your family
Company contributes up to $2,300 to Health Savings Account annually
Wellness program that contributes additional money towards your HSA
Automatic 3% contribution into retirement plan
Career development and growth opportunities
15 days paid time off & 10 paid holidays per year

MotivHealth is a dynamic and mission-driven health insurance company dedicated to disrupting the status quo by making healthcare simpler and more affordable for our members. We believe in empowering our members to take control of their health and financial well-being. Our innovative approach requires a team of passionate, talented individuals who aren't afraid to challenge conventional thinking and build solutions that truly make a difference. If you're looking to contribute your skills to a company that values innovation and positive impact, MotivHealth is the place for you.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Referral program
Retirement plan
Travel reimbursement
Vision insurance

Experience:

Utilization management: 3 years (Required)

License/Certification:

Registered Nurse License (Required)

Work Location: Remote

Quick Apply

Refine Your Search

nurse jobs in mexia tx

Clinical Review Nurse, RN

PASRR Nurse

Vocational Nurse (LVN) - Boyd Unit

Director of Nursing

Registered Nurse (RN) - ICU / Critical Care NIGHTS $10K SignOn - Parkview Regional Hospital

Local ICU (Intensive Care Unit) RN (Registered Nurse) in Mexia, TX - 1137158L

Senior LTSS Service Care Manager (RN) - J01077

LPN LVN I

Travel RN

PRN Home Infusion RN

PRN Registered Nurse – ED

LVN (RHC)

RN – Med/Surg

LVN

RN Emergency Services Days

Assistant Manager

Registered Nurse (RN) - Case Manager

Registered Nurse I

PRN LPN LVN I

PRN Hospice RN- Teague

I want to receive the latest job alert for nurse in mexia tx

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected