• PharmaCord (Austin, TX)
    …independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing ... present for successful initiation and completion of therapy. The Nurse Advocate will play an active role with each...diagnosis. Empower the patient to participate in their personal care process by triaging the patient to support for… more
    Upward (08/01/25)
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  • RN Care Manager

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
    Humana (10/23/25)
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  • RN Carceral Care Manager

    Molina Healthcare (Austin, TX)
    …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… more
    Molina Healthcare (10/09/25)
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  • Care Manager RN -…

    Highmark Health (Austin, TX)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (10/22/25)
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  • Care Manager , Registered

    Sharecare (Austin, TX)
    … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (10/08/25)
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  • Registered Nurse / RN , Home…

    AccentCare, Inc. (Austin, TX)
    Overview RN / Registered Nurse ,...Location: Austin South Office Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... 78739, 78749 Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more
    AccentCare, Inc. (10/13/25)
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  • Case Manager , Registered

    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 ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (10/23/25)
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  • Pediatric and Adult Case Manager

    CVS Health (Austin, TX)
    …We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN , you will be responsible for assessing, planning, implementing, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the… more
    CVS Health (10/22/25)
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  • Care Manager , Telephonic Compact…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Nurse 2...skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in… more
    Humana (09/26/25)
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  • Case Manager Registered Nurse

    CVS Health (Austin, TX)
    …compassionate. And we do it all with heart, each and every day. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote ; ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...weekends or holidays will be required** . The Case Manager RN is responsible for telephonically and/or… more
    CVS Health (10/22/25)
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  • Registered Nurse (Call Center)…

    Texas Health Action (Austin, TX)
    …. This role will report to the Patient Access Center Director and Patient Access Center Nurse Manager . What you would do: + Core Functions: + Talk directly to ... two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas. Bolstered by Waterloo Counseling Center… more
    Texas Health Action (10/12/25)
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  • RN Care Manager - Pediatrics,…

    Centene Corporation (Austin, TX)
    …you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** RN Care Manager - apply if you resid** **e in ... - 5:00 pm (CST)** **Position Purpose:** Performs STAR Kids care management duties to assess and coordinate all aspects...related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse -… more
    Centene Corporation (10/12/25)
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  • Bilingual Telephonic RN 2, Care

    CenterWell (Austin, TX)
    …in Nursing + 3 - 5 years of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no disciplinary action + ... health first** We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science...in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2.… more
    CenterWell (10/17/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Austin, TX)
    …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
    Molina Healthcare (10/19/25)
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  • Manager , Prior Authorization UM - Aetna…

    CVS Health (Austin, TX)
    …on authorization trends, turnaround times, and team performance. **Required Qualifications** + Registered Nurse ( RN ) with an active and unrestricted ... commercial insurance plans. + Familiarity with NCQA accreditation standards. **Education** Registered Nurse , BSN preferred **Anticipated Weekly Hours** 40 **Time… more
    CVS Health (10/23/25)
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  • Transition of Care Coach ( RN

    Molina Healthcare (Austin, TX)
    …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager more
    Molina Healthcare (09/14/25)
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  • Government Programs Care Manager III

    Health Care Service Corporation (Austin, TX)
    …complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to the consumer in a ... development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based ...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
    Health Care Service Corporation (10/08/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Austin, TX)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
    Molina Healthcare (09/06/25)
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  • Disease Management Nurse - Remote

    Sharecare (Austin, TX)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
    Sharecare (10/22/25)
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  • LVN Delegation Oversight Nurse

    Molina Healthcare (Austin, TX)
    …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
    Molina Healthcare (10/23/25)
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