- Highmark Health (Austin, TX)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Sharecare (Austin, TX)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
- Humana (Austin, TX)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- CAI (Austin, TX)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- CVS Health (Austin, TX)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...Oncology, Transplant, or Pediatrics **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Austin, TX)
- …deliver solutions to make health care more personal, convenient and affordable. **Position Summary** This Case Manager RN role is with the Costco Team and is ... fully remote ; however, candidates must reside within 45 minutes (reasonable...**No weekends or holidays will be required** . The Case Manager RN is responsible… more
- CVS Health (Austin, TX)
- …deliver solutions to make health care more personal, convenient and affordable. **Position Summary** **This Case Manager RN role is with the Costco Team and ... is fully remote ; however, candidates must reside within 45 minutes (reasonable...needs.** **No weekends or holidays will be required** The Case Manager RN is responsible… more
- Molina Healthcare (Austin, TX)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Highmark Health (Austin, TX)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Humana (Austin, TX)
- …or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must ... **Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside… more
- Centene Corporation (Austin, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. ** RN Case Manager travels to Assisted** **Living and Skilled ... related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse -...Adult Day Care + Home Health or Hospice + Case Management + Managed Care Pay Range: $35.49 -… more
- Molina Healthcare (Austin, TX)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Austin, TX)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Molina Healthcare (Austin, TX)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more