- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Austin, TX)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules may include ... Qualifications** - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience...and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work… more
- Conviva (Austin, TX)
- …+ Prior clinical experience, managed care experience, Home Health, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Lincoln Financial Group (Austin, TX)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Ascension Health (Austin, TX)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... / Registration: + Registered Nurse obtained prior to hire date or job transfer...years of transplant experience, preferred + 2-3 years of utilization management and managed care experience, preferred… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- The Cigna Group (Austin, TX)
- **Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job Responsibilities and Required ... case management needs and assigning to a client based CM for further management when appropriate.** **Must be skilled in utilization of Cigna resources when… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... you have the PRN career opportunities as a Registered Nurse Case Manager you want with your current employer?...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... where diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St. David's Medical Center today and find… more
- HCA Healthcare (Austin, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... where diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St. David's South Austin Medical Center today… more
- HCA Healthcare (Round Rock, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... colleagues invested over 156,000 hours volunteering in our communities. As a Registered Nurse Case Manager with St. David's Round Rock Medical Center you can be… more
- HCA Healthcare (Round Rock, TX)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... Do you have the career opportunities as a Registered Nurse Case Manager you want with your current employer?...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- HCA Healthcare (Georgetown, TX)
- …+ **Minimum of 5 years of clinical practice, minimum of 3 years in a management role such as Charge Nurse or similar** **Education** + **Associate's degree in ... you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current...in the absence of other members of the nursing management /administrative team. + You will direct staff members appropriately… more
- HCA Healthcare (Austin, TX)
- …where diversity and inclusion thrive? Submit your application for our Registered Nurse House Supervisor opening with St. David's North Austin Medical Center today ... may vary by location._** We are seeking a(an) Registered Nurse House Supervisor for our team to ensure that...in the absence of other members of the nursing management /administrative team. + You will direct staff members appropriately… more
- HCA Healthcare (Round Rock, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Supervisor House PRN you want with your current employer? We have ... colleagues. Do you want to work as a(an) Registered Nurse Supervisor House PRN where your passion for creating...in the absence of other members of the nursing management /administrative team. + You will direct staff members appropriately… more
- Prime Therapeutics (Austin, TX)
- …post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria. ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing… more
- Intermountain Health (Austin, TX)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- HCA Healthcare (Austin, TX)
- …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at North...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- Elevance Health (Austin, TX)
- …**Minimum requirements:** + Requires minimum of 3 years acute care clinical experience, utilization management or managed care experience; or any combination of ... ** Nurse Medical Management Sr.** **Location:** **multiple states: Texas, Florida,** or **Maryland.** The ideal candidate will live within 50 miles of one of our… more