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Registered Nurse (RN) Clinical Reviewer

Open

State & Local

Response Deadline12/10/2026, 10:30:00 AM CST

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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This subcontract opportunity with the Texas Health and Human Services Commission seeks a licensed Registered Nurse to serve as a Clinical Reviewer. The selected professional will provide specialized clinical expertise to evaluate medical and nursing components of dispute resolutions for prime contractors. Primary responsibilities include reviewing clinical records and nursing standards to identify valid grounds for disputes and delivering formal clinical validations and recommendations through Independent Dispute Resolution reports. Qualified candidates must possess a valid RN license and demonstrate comprehensive knowledge of CMS regulations and clinical standards specifically related to long-term care. This engagement falls under NAICS code 621399, with a response deadline set for December 10, 2026.

General Info

RN Clinical Reviewer for Texas HHSC evaluating medical disputes; deadline December 10, 2026.

Agency

Texas → Health and Human Services Commission

NAICS

621399 - Offices of All Other Miscellaneous Health Practitioners

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of HHS0017139.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Informal Dispute Resolution - Outsourcing

AI Contract Breakdown

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Timeline

PostedNov 9

subcontract

Response DeadlineDec 10

Submission deadline

Response Deadline

12/10/2026, 10:30:00 AM CSTin about 1 month

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Organization & Contact Information

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AgencyTexas → Health and Human Services Commission

ContactsNo contacts available

OfficeN/A

Organization / Agency

Texas → Health and Human Services Commission

Office AddressN/A

ContactsNo contact information available

Full Description

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Provides clinical expertise to evaluate medical and nursing aspects of dispute resolutions for prime contractors on Texas Health and Human Services Commission (HHSC) projects. Reviews clinical records and nursing standards to determine valid clinical grounds for disputes. Requires a licensed Registered Nurse (RN) with knowledge of long-term care clinical standards and CMS regulations. Delivers clinical validation and recommendations within IDR reports.

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