• Care Manager, Registered Nurse

    Sharecare (Austin, TX)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (02/17/25)
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  • Clinical Appeals Nurse (RN): Texas…

    Molina Healthcare (Austin, TX)
    …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical more
    Molina Healthcare (02/09/25)
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  • Pre-Authorization Registered Nurse

    Humana (Austin, TX)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in the state of Virginia or obtain a ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
    Humana (03/15/25)
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  • Manager, Utilization Management Registered

    Humana (Austin, TX)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of… more
    Humana (03/12/25)
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  • Clinical Development Manager…

    Stryker (Austin, TX)
    …with MIPS (minimally invasive parafascicular surgery), or neurosurgical procedures preferred. + Registered Nurse , Nurse Practitioner or Physician Assistant ... Stryker is hiring a ** Clinical Development Manager.** This position is ** Remote ** , supporting our **Instruments Division** . Preference will be given to… more
    Stryker (03/14/25)
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  • Manager, HCS Clinical Policy - Medicare…

    Molina Healthcare (Austin, TX)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... **Job Description** **Job Summary** Develops clinical policies to ensure that patients progress toward... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license… more
    Molina Healthcare (02/14/25)
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  • Licensed Vocational Nurse (Dermatology)

    Veterans Affairs, Veterans Health Administration (Austin, TX)
    …patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with ... the EDRP application. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse -… more
    Veterans Affairs, Veterans Health Administration (03/14/25)
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  • Clinical Consultant, MI

    Fujifilm (Austin, TX)
    …where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via ... **Position Overview** The Clinical Consultant, MI - I shall be responsible...experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath,… more
    Fujifilm (02/12/25)
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  • Sr Clinical Consultant, Cardio

    Fujifilm (Austin, TX)
    … Nuclear Medicine Technologist experience in: + MPI + MUGA + PET + Registered Nurse Cardiac experience in: + Cath, Peripheral Angiography, Electrophysiology Lab ... **Position Overview** The Senior Clinical Consultant, Cardiology shall be responsible for providing...and standards. **Qualifications:** + Advanced Cardiac Sonographer. Technologist or Nurse + 5+ years of progressive experience in medical… more
    Fujifilm (02/19/25)
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  • Remote Program Manager, HCS - RN…

    Molina Healthcare (Austin, TX)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... and Eastern time zones. While the position is fully remote , working from home, there will be 25% or...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more
    Molina Healthcare (03/04/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (Austin, TX)
    …required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + LCSW- ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (03/15/25)
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  • Manager, Healthcare Services ( Remote )

    Molina Healthcare (Austin, TX)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more
    Molina Healthcare (03/07/25)
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  • Sr Clinical Performance Consultant

    Molina Healthcare (Austin, TX)
    …on business need (up to 25%) **Job Qualifications** * Active and unrestricted Registered Nurse (RN) license or independent behavioral health license (LCSW, LPC, ... **Job Description** Looking for a Registrared Nurse or Licensed Social worker to support HealthPlans...AM to 5 PM) - to support business needs Remote Position - Home office with internet connectivity of… more
    Molina Healthcare (03/15/25)
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  • Clinical Supervisor, Access and Patient…

    Cardinal Health (Austin, TX)
    …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including… more
    Cardinal Health (03/13/25)
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  • Mgr- Clinical Documentation

    Ascension Health (Austin, TX)
    …Improvement Specialists obtained prior to hire date or job transfer date. + Licensed Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... M-F** + **Hospital: Seton Family of Hospitals** + **Location: Austin, TX (some remote )** **Benefits** Paid time off (PTO) Various health insurance options & wellness… more
    Ascension Health (12/19/24)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Austin, TX)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... Master's Degree in Nursing **EXPERIENCE** **Required** + 3 years of related, progressive clinical experience in the area of specialization + Experience in a … more
    Highmark Health (02/20/25)
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  • Manager, Utilization Management Behavioral Health

    Humana (Austin, TX)
    …required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state of Virginia or reside ... **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of...counseling experience required + Minimum one, (1) year of clinical supervisory such as team lead, charge nurse more
    Humana (03/12/25)
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  • Utilization Management Behavioral Health…

    Humana (Austin, TX)
    …**Additional Information:** **Workstyle:** Remote work at Home **Location:** **Location for Registered Nurse :** must reside in the state of Virginia or ... an impact** **Required Qualifications** **Must meet one of the following:** + Active unrestricted registered nurse license in the state of Virginia or obtain a… more
    Humana (03/15/25)
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  • Case Manager RN

    CVS Health (Austin, TX)
    …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...setting - A Registered Nurse that holds an active, unrestricted… more
    CVS Health (03/13/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Austin, TX)
    …related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... / needs + Monitors member status for complications and clinical symptoms or other status changes, including assessment needs...required or + NP - Nurse Practitioner - Current State's Nurse Licensure… more
    Centene Corporation (03/15/25)
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