- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- Veterans Affairs, Veterans Health Administration (Bonham, TX)
- Summary The Community Living Center, Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising ... during the open period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …VA Nurse Total Rewards The RN Outpatient Behavioral Health (BH) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care to ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …additional vacancies occur on an as-needed basis until positions are filled. The Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (TX)
- …and production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Highmark Health (Austin, TX)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Baylor Scott & White Health (Temple, TX)
- …Should have a minimum of two years relevant work experience. + Holds a valid Registered Nurse license. As a health care system committed to improving the health ... position type and/or level **Job Summary** As Care Manager RN 1, you oversee patient care, ensuring quality and...outcomes. By controlling care and resources effectively, unnecessary service utilization can be reduced. Location: Temple, TX - 2401… 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...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Highmark Health (Austin, TX)
- … - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more
- Molina Healthcare (TX)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... direction and oversight to the segment clinical teams - specifically care management and utilization management - designed to achieve best in class… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …committed to serving the veteran. Direct Care Licensed Vocational Nurses assist the Registered Nurse in the coordination of care focused on patient transition ... applications will be referred as needed. Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf The primary purpose of the Licensed… more
- Elevance Health (TX)
- **Be Part of an Extraordinary Team** ** Nurse Medical Management I** **Location:** Remote - Candidates must reside within 50 miles or 1-hour commute each way ... experience. **Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. + 3-5 years of experience in… more
- Community Health Systems (Laredo, TX)
- …hospital nursing experience (eg medical/surgical unit, intensive care). Experience in Utilization Management /Case Management , Critical Care, patient ... (VIP) is available for out-of-town applicants. The CDI Specialists provides remote and onsite support of clinical documentation improvement activities in an… more
- American Heart Association (Dallas, TX)
- …risk assessment, and compliance oversight in healthcare or nonprofit sectors + Registered ( RN ) and/or Certification in Healthcare Research Compliance and/or ... + Manage and cultivate relationships with program sites through account management activities, recruitment of new sites, and support for quality improvement… more
- Elevance Health (Grand Prairie, TX)
- …Health location. The ** Nurse Case Manager ll** is responsible for care management within the scope of licensure for members with complex and chronic care needs ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** Requires BA/BS… more