- 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
- 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
- Ascension Health (Austin, TX)
- … Review RN, you'll provide health care services regarding admissions, case management , discharge planning and utilization review . + Review ... **Details** + **Department:** Utilization Review + **Schedule:** Full-time, 8-hour...coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure… more
- Ascension Health (Austin, TX)
- …Experience: + Two years of related experience is required. **Additional Preferences** + Utilization Review management experience required. **Why Join Our ... with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient… more
- Lincoln Financial Group (Austin, TX)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... 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
- Centene Corporation (Austin, TX)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Humana (Austin, TX)
- …and ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, ... Durable Medical Equipment, and/or Skilled Nursing Facility Experience **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week)… more
- Humana (Austin, TX)
- …**Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP) certification ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality… 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 ... **Position Title:** Nurse Medical Mgmt Sr (US) **Job Description:** ** Nurse Medical Management Sr.** **Location:** **multiple states: Texas, Florida,** or… 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 ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review … 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 ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...growth, we encourage you to apply for our Registered Nurse Case Manager opening. We review all… 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 ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review … 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 ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review … 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 ... stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in...growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review … 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 ... in the absence of other members of the nursing management /administrative team. + You will direct staff members appropriately...growth, we encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review … more
- HCA Healthcare (Austin, TX)
- …find this opportunity compelling, we encourage you to apply for our Registered Nurse House Supervisor opening. We promptly review all applications. Highly ... where diversity and inclusion thrive? Submit your application for our Registered Nurse House Supervisor opening with St. David's North Austin Medical Center today… more
- HCA Healthcare (Round Rock, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Supervisor House PRN opening. We review all applications. Qualified ... you have the PRN career opportunities as a(an) Registered Nurse Supervisor House 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
- Fresenius Medical Center (Austin, TX)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Home Care Providers of Texas (Austin, TX)
- …to meet the needs of each individual patient. + Responsible for evaluating utilization of patient services and patient progress. Review evaluation with the ... Health (Geriatrics) experience + Texas Nursing License + Strong organizational and self- management skills + Strong and compassionate customer service skills + Valid… more
- HCA Healthcare (Austin, TX)
- …case management philosophy/process/role, needs assessment principles of utilization review /quality assurance, discharge planning, and reimbursement ... perform concurrent analysis of patient records for purposes of utilization review and quality assurance. You will...Previous recent work history in acute care case management role - preferred + Working knowledge of… more