• PharmaCord (Austin, TX)
    …experience with relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management , a plus. ... never send a check (electronic or physical) to purchase home office equipment. If you receive any suspicious communication...Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are… more
    Upward (08/01/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
    - Save Job - Related Jobs - Block Source
  • SNF Utilization Management RN…

    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
    Humana (09/12/25)
    - Save Job - Related Jobs - Block Source
  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
    - Save Job - Related Jobs - Block Source
  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Austin, TX)
    …receptive including home , nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and provide ... 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health,...home health as a licensed clinician, especially in management of chronic conditions + Experience with underserved populations… more
    Molina Healthcare (09/17/25)
    - Save Job - Related Jobs - Block Source
  • Field Nurse Practitioner (Pocatello, ID)

    Molina Healthcare (Austin, TX)
    …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
    Molina Healthcare (09/25/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager, Registered Nurse - Oncology…

    CVS Health (Austin, TX)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager PRN

    HCA Healthcare (Round Rock, TX)
    …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** St. David's Round Rock ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (09/21/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …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. David's Round ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/08/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... 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 your career.… more
    HCA Healthcare (09/18/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager

    HCA Healthcare (Austin, TX)
    …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... 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 your career.… more
    HCA Healthcare (08/28/25)
    - Save Job - Related Jobs - Block Source
  • UM Nurse Consultant

    CVS Health (Austin, TX)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... extended periods, talking on the telephone and typing on the computer. + Work from home position:During work hours, Colleagues who are working from home must be… more
    CVS Health (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Clinical UM Nurse 2

    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 ... experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more
    CenterWell (09/26/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager PRN

    HCA Healthcare (Austin, TX)
    …patient throughput while supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management services for both ... Do you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current...what matters most to nurses like you - at home , at work, and at every stage in your… more
    HCA Healthcare (07/16/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …Weekends Only Shift **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... most to nurses like you - at home , at work, and at every stage in your...Rock Medical Center! **Job Summary and Qualifications** **The Registered Nurse (RN) CM is responsible for promoting patient-centered care… more
    HCA Healthcare (08/26/25)
    - Save Job - Related Jobs - Block Source
  • Consultant, Nurse Disability I

    Lincoln Financial (Austin, TX)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
    Lincoln Financial (10/01/25)
    - Save Job - Related Jobs - Block Source
  • Operating Room Nurse

    HCA Healthcare (Austin, TX)
    …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (09/17/25)
    - Save Job - Related Jobs - Block Source
  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Marble Falls, TX)
    …and acting on adverse events and action thresholds. + Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
    Fresenius Medical Center (09/16/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Manager Home Health

    CenterWell (Austin, TX)
    …+ Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. **Scheduled Weekly ... patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission… more
    CenterWell (09/06/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director (AZ)

    Molina Healthcare (Austin, TX)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (09/26/25)
    - Save Job - Related Jobs - Block Source