- 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
- 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
- CVS Health (Austin, TX)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… 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 ... all with heart, each and every day. **Position Summary** Medicare Precertification Nurse Consultant position: _Utilization Management is a 24/7 operation and work… more
- CVS Health (Austin, TX)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Fresenius Medical Center (Kyle, TX)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (Austin, TX)
- …in the state of residence + 5 years clinical practice experience as an Registered Nurse (RN) + 2+ years' experience in critical care + 6+ months case ... and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's...is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for… more
- HCA Healthcare (Austin, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Seasonal Registered Nurse Case Manager position and spend more time at ... St. David's Medical Center! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for...Seasonal program will have one opportunity to pass the clinical competency evaluation. + Registered Nurses who… 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 (Austin, TX)
- …at St. David's 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
- 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 (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
- 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
- Baylor Scott & White Health (Lakeway, TX)
- **JOB SUMMARY** The Registered Nurse (RN) Float is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care ... competencies of the employee. **ESSENTIAL FUNCTIONS OF THE ROLE** Clinical Judgment: Using clinical reasoning, conducts accurate...- 1 Year of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse (RN) & Basic Life Support… more
- Baylor Scott & White Health (Lakeway, TX)
- …here have 24-hour access to laboratory, X-ray and surgical services.** **JOB SUMMARY** The Registered Nurse (RN) is a licensed professional who uses the BSWH ... Centers and IV Services. **ESSENTIAL FUNCTIONS OF THE ROLE** Clinical Judgment: Using clinical reasoning, conducts accurate...- 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse (RN) & Basic Life Support… more
- Molina Healthcare (Austin, TX)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- CVS Health (Austin, TX)
- …a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and ... functions as well as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… more
- CVS Health (Austin, TX)
- …or health care related field. - 1 year of project management experience. - Registered Nurse (RN) license in the state of their residence. **Education** Bachelors ... in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. - Provides… more
- HCA Healthcare (Austin, TX)
- …Health and Safety Program for external employers, and serves as Case Manager and Registered Nurse for Occupational Health Services. + You will plan, implement, ... by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of...Nursing, Healthcare Administration, Physical Therapy, or Excercise Physiology. + Registered Nurse license in Texas. If Compact… more