- PharmaCord (Austin, TX)
- … Utilization Management, Call Center Case Management, a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are ... independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing… more
- Cognizant (Austin, TX)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Austin, TX)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Austin, TX)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure ... it all with heart, each and every day. Medicare Clinical Predetermination Nurse **Must be willing and...(AFTER training M-F for about 4 - 5 months).** ** Utilization Management is a 24/7 operation and work schedules… more
- Fresenius Medical Center (Marble Falls, TX)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- HCA Healthcare (Austin, TX)
- …of Austin we support our colleagues in their positions. Join our Team as a(an) 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 services for… more
- HCA Healthcare (Austin, TX)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage ... 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 services for… more
- HCA Healthcare (Round Rock, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** St. ... life - and empowers their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications** The … more
- HCA Healthcare (Round Rock, TX)
- …Round Rock Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits** St. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager. We want your...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** Education & Experience:… more
- CVS Health (Austin, TX)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- HCA Healthcare (Austin, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current role? We invest in what ... Austin Medical Center! **Job Summary and Qualifications** **As a Registered Nurse Case Manager you will be...supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for… more
- Centene Corporation (Austin, TX)
- …of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- HCA Healthcare (Round Rock, TX)
- …Time Days Weekends Only Shift **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest ... at St. David's Round Rock Medical Center! **Job Summary and Qualifications** **The Registered Nurse (RN) CM is responsible for promoting patient-centered care by… more
- 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Sharecare (Austin, TX)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- CVS Health (Austin, TX)
- …varying hours available with Holiday, Weekend, and late rotations. **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN ... 1+ years of Managed Care Experience; and experience with utilization review + 1+ years of clinical ...with utilization review + 1+ years of clinical experience in acute or post-acute setting. **Education** Diploma… more
- Lincoln Financial (Austin, TX)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Molina Healthcare (Austin, TX)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary... Practitioner will be required to work primarily in non- clinical settings and provide medical care to all levels… more
- Molina Healthcare (Austin, TX)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… more
