• Utilization Management Review

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
    Humana (07/12/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …find this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... 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 (07/17/24)
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  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …find this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St. David's South Austin...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
    HCA Healthcare (06/27/24)
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  • Registered Nurse House Supervisor PRN

    HCA Healthcare (Georgetown, TX)
    …satisfaction and personal growth, we encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review all applications. Qualified ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current employer? We have… more
    HCA Healthcare (05/26/24)
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  • Registered Nurse House Supervisor

    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 (05/29/24)
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  • Medical Surgical Oncology Nurse Manager

    HCA Healthcare (Austin, TX)
    …colleagues invested over 156,000 hours impacting our communities. As a(an) Surgical Oncology Nurse Manager with St. David's South Austin Medical Center, you can be a ... location._** Come join our team as a(an) Surgical Oncology Nurse Manager. We care for our communities and employees!...the organization as a healthcare leader. + You will review various feedback mechanisms and help identify opportunities to… more
    HCA Healthcare (05/26/24)
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  • Registered Nurse Supervisor House PRN

    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 ... **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… more
    HCA Healthcare (05/24/24)
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  • Transplant Care Nurse

    Highmark Health (Austin, TX)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
    Highmark Health (07/18/24)
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  • Dialysis Clinical Manager Registered Nurse

    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
    Fresenius Medical Center (06/27/24)
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  • Clinical Registered Nurse , Comprehensive…

    Sharecare, Inc. (Austin, TX)
    …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for early ... participate in the orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required for all Sharecare… more
    Sharecare, Inc. (07/21/24)
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  • Auditor, Clinical Services - UM (Remote in TX)

    Molina Healthcare (Austin, TX)
    **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... tool use. + Assists in preparation for regulatory audits by performing file review and preparation. + Participates in regulatory audits as subject matter expert and… more
    Molina Healthcare (06/25/24)
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  • Case Manager Austin Market Float Pool PRN

    HCA Healthcare (Austin, TX)
    …your knowledge and expertise! **Job Summary and Qualifications** As the Registered Nurse (RN) Case Manager (CM), you are responsible for promoting patient-centered ... patient outcomes while supporting a balance of optimal care and appropriate resource utilization . Market Float Pool employees will be required to float to all St.… more
    HCA Healthcare (05/24/24)
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  • Progressive Care Manager RN

    HCA Healthcare (Round Rock, TX)
    …that differentiate the organization as a healthcare leader. + You will review various feedback mechanisms and help identify opportunities to improve customer/patient ... productivity guidelines. + You will manage operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and… more
    HCA Healthcare (07/23/24)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Austin, TX)
    …clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical ... necessity, homebound status, visit utilization , and documentation of individualized patient assessment and transition (discharge) planning. Reviews agency assigned… more
    HCA Healthcare (07/14/24)
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  • Major Case Specialist, Workers Compensation…

    Travelers Insurance Company (Austin, TX)
    …of creative resolution techniques to improve the claim results of others. + Utilization of Claim Legal Subrogation Counsel as needed. + Actively engage in the ... required to effectively evaluate claims, such as Liability, Risk Control, nurse consultants, Investigative Services, and other experts. + OTHER ACCOUNTABILITIES: +… more
    Travelers Insurance Company (07/19/24)
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  • Emergency Services Manager FSED

    HCA Healthcare (Austin, TX)
    …that differentiate the organization as a healthcare leader. + You will review various feedback mechanisms and help identify opportunities to improve customer/patient ... productivity guidelines. + You will manage operating expenses, including the utilization of supplies and equipment. Identify cost reduction opportunities and… more
    HCA Healthcare (07/04/24)
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  • Administrative Director Surgical Services

    HCA Healthcare (Round Rock, TX)
    …to deliver upon organizational and department goals + You will utilize talent review data for pipeline development + You will foster strategic career advancement for ... responsible for the fiscal management of department; assure proper utilization of organization's financial resources + You will advance...and/or experience + Currently licensed as a registered professional nurse in the state in which he or she… more
    HCA Healthcare (06/13/24)
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