- 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...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Molina Healthcare (Austin, TX)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **WORK SCHEDULE: Mon - Fri / Sun… more
- CVS Health (Austin, TX)
- …in compliance with regulatory and accreditation guidelines. **Required Qualifications** - A Registered Nurse that must hold an unrestricted license in their ... using various computer programs **Education** - Associate's degree minimum required as a Registered Nurse **Pay Range** The typical pay range for this role… 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 (Georgetown, TX)
- …Science in Nursing (BSN) - preferred** **Licenses and Certifications** + **Current State of Texas Registered Nurse ( RN ) license or Compact Registered ** + ... of clinical practice, minimum of 3 years in a management role such as Charge Nurse or...encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review … more
- HCA Healthcare (Round Rock, TX)
- …Medical Center we support our colleagues in their positions. Join our Team as a Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- HCA Healthcare (Round Rock, 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 … more
- HCA Healthcare (Austin, TX)
- …Center we support our colleagues in their positions. Join our Team as a NICU Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- HCA Healthcare (Austin, TX)
- …and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as an Registered Nurse Case Manager today with St....supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … 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 … more
- HCA Healthcare (Austin, TX)
- …Science in Nursing (BSN) - preferred** **Licenses and Certifications** + **Current State of Texas Registered Nurse ( RN ) license or Compact Registered ** + ... Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want...in the absence of other members of the nursing management /administrative team. + You will direct staff members appropriately… more
- Highmark Health (Austin, TX)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Sharecare (Austin, TX)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… 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 ... looking for talent and will consider all who respond. Seeking Full-Time Home Health Registered Nurses in the North and South Austin, TX and surrounding areas! Now… more
- Highmark Health (Austin, TX)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- CVS Health (Austin, TX)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...work Monday through Friday 8:00am to 5pm CST + Utilization management is a 24/7 operation. Work… more
- Guardian Life (Austin, TX)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… 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 ... consider all who respond. Seeking a Weekend Home Health Registered Nurses in the North and South Austin, TX...experience + Texas Nursing License + Strong organizational and self- management skills + Strong and compassionate customer service skills… more
- HCA Healthcare (Austin, TX)
- …Healthcare, we are proud to be the only FACT accredited facility in Austin, Texas. As a Registered Nurse ( RN ) on the TCT unit you will be responsible for the ... transplant services + Minimum 3 years' experience in Case Management / Utilization **Education** + Graduate of an accredited...for our Coord Blood Cancer Unit Registered Nurse opening. Our team will promptly review … more
- HCA Healthcare (Austin, TX)
- …opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** As the Registered Nurse ( RN ) Case Manager (CM), you are responsible for ... stay, manage the length of stay, ensure appropriate resource management and develop a safe and appropriate discharge plan...preferred License and Certifications + Current State of Texas Registered Nurse ( RN ) license or… more