- 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
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... Clinical Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100%… 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 ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- CVS Health (Austin, TX)
- …to work Monday through Friday, 10am to 7pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...10:00am to 7:00pm eastern time with occasional holiday rotation. Utilization Management is a 24/7 operation and… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- HCA Healthcare (Austin, TX)
- …South Austin Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN. We want...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … 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. ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. **Job Summary...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- HCA Healthcare (Austin, TX)
- …at St. David's Healthcare have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager Observation you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager Observation. We want...utilization . Your responsibilities will include: + Provides case management services for both inpatient and observation patients as… 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 ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at St....St. David's Medical Center! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for… 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 … 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 … 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 … more
- Centene Corporation (Austin, TX)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Fresenius Medical Center (Austin, TX)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- CVS Health (Austin, TX)
- …candidates in compact RN states. This role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for ... - 5 years clinical practice experience as an RN - 6+ months Case Management or Utilization Management experience - Must be able to work Monday through Friday… more
- CVS Health (Austin, TX)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the… more
- TEKsystems (Austin, TX)
- …with federal ERISA and state mandates. + Provide insight to management on consultant quality, availability, and compliance with policies/procedures. + Promote ... efficient utilization of company resources. + Participate in educational and training activities as required. Schedules & Compensation: $34/hr - Fixed rates (no… more
- Molina Healthcare (Austin, TX)
- …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) ... modification of payment decisions. + Serves as a clinical resource for utilization management , CMOs, physicians and member/provider inquiries/appeals. + Provides… more
- Evolent (Austin, TX)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more