- Ascension Health (Austin, TX)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** As the Utilization Review RN , you'll provide health care services ... **Details** + **Department:** Utilization Review + **Schedule:** Full-time, 8-hour...and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date… more
- Centene Corporation (Austin, TX)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse 2...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Humana (Austin, TX)
- …Provider calls **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in Illinois, Minnesota or Compact license ... independent determination of the appropriate courses of action. The Post-Acute Utilization Management Nurse 2: + Review cases using clinical knowledge,… more
- Sedgwick (Austin, TX)
- …and consult review ; and two (2) years of experience in daily application of nurse auditing, utilization review and bill review . **Skills & ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and professional… 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
- HCA Healthcare (Austin, TX)
- …this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St....supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
- HCA Healthcare (Austin, TX)
- …this opportunity compelling, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Registered Nurse Case Manager opening with St....supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
- HCA Healthcare (Austin, TX)
- …Science in Nursing (BSN) - preferred** **Licenses and Certifications** + **Current State of Texas Registered Nurse ( RN ) license or Compact Registered ** + ... opportunity compelling, we encourage you to apply for our Registered Nurse House Supervisor opening. We promptly review all applications. Highly qualified… more
- HCA Healthcare (Round Rock, TX)
- …Science in Nursing (BSN) - preferred** **Licenses and Certifications** + **Current State of Texas Registered Nurse ( RN ) license or Compact Registered ** + ... management/administrative team to ensure staff productivity and appropriate resource utilization to achieve high quality patient care while meeting...encourage you to apply for our Registered Nurse Supervisor House PRN opening. We review … more
- HCA Healthcare (Georgetown, TX)
- …Science in Nursing (BSN) - preferred** **Licenses and Certifications** + **Current State of Texas Registered Nurse ( RN ) license or Compact Registered ** + ... management/administrative team to ensure staff productivity and appropriate resource utilization to achieve high quality patient care while meeting...encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review … more
- HCA Healthcare (Austin, TX)
- …population. You will perform concurrent analysis of patient records for purposes of utilization review and quality assurance. You will promote a cooperative and ... knowledge of case management philosophy/process/role, needs assessment principles of utilization review /quality assurance, discharge planning, and reimbursement… more
- HCA Healthcare (Austin, TX)
- …and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a Registered Nurse Case Manager you want with...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
- HCA Healthcare (Round Rock, TX)
- …and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want with...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for… more
- HCA Healthcare (Austin, TX)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... leader to physicians and employees as it relates to utilization review , resource management, patient flow, multi-disciplinary...the time of hire. + Currently licensed as a registered professional nurse in the state(s) of… 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 ... Seeking Home Health Registered Nurses in the North Austin and nearby areas (Georgetown, Liberty Hill, Round Rock, Sun City, Hutto and Creedmore) and South Austin, TX… more
- Prime Therapeutics (Austin, TX)
- …oversight for this program is provided by the Manager, Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical ... Experience in managed care, specialty drugs, care management and utilization review . + Meets Magellan Credentialing criteria....- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
- Houston Methodist (Austin, TX)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… 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 preferred ... looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Select Medical (Lakeway, TX)
- …14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of ... licenses, if candidate also has extensive experience with prior authorizations and/or utilization review + Previous Experience within a physical rehabilitation… more