- 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
- Sharecare (Austin, TX)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Austin, TX)
- …overall wellness within a high-risk maternity case management program. The Case Manager RN is empowered to take care of all aspects of a member's maternity ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...team and experience with this is required. The Case Manager RN is responsible for telephonically and/or… more
- CVS Health (Austin, TX)
- …holidays; however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Austin, TX)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote work from home and candidates must ... per the needs of the team. No travel is expected with this position. The RN Case Manager is responsible for telephonically and/or face to face assessing,… more
- Highmark Health (Austin, TX)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Austin, TX)
- …4-6 years of related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must be...90 days of hire required **Preferred Experience:** + Clinical RN nursing experience with direct patient care … more
- Centene Corporation (Austin, TX)
- …you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** Care Manager RN - Children/Adolescents (ages 0 - 18)** ... from home 2 days per week** **Position Purpose:** Performs 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 (Austin, TX)
- …4-6 years of related experience. Bachelor's degree in Nursing preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure...90 days of hire required **Preferred Experience:** + Clinical RN nursing experience with direct patient care … more
- Centene Corporation (Austin, TX)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Ascension Health (Austin, TX)
- …and patient engagement strategies. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer ... Full Time, Monday- Friday, Day Shift, with occasional evenings and weekends, remote . + **Facility:** Ascension Care Management Insurance **Benefits** Paid time… more
- Public Consulting Group (Austin, TX)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... financial, regulatory, and operational challenges of today's changing health care landscape, so they can provide the best ...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- CVS Health (Austin, TX)
- …and more compassionate. And we do it all with heart, each and every day. This Case Manager RN role is with the Costco Team and is fully remote ; however, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...No weekends or holidays will be required. The Case Manager RN is responsible for telephonically and/or… more
- 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
- Molina Healthcare (Austin, TX)
- …meetings with vendors for the medical record collection process. + Assists Manager and Supervisor(s) in training, utilizing the standardized training materials and ... entry and Sr. level abstractors. + Works with the Manager to monitor accuracy of abstracted records as required...of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA.… more
- BAYADA Home Health Care (Austin, TX)
- …to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review ... with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be...that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. Apply your… more
- Ascension Health (Austin, TX)
- …Improvement Specialists obtained prior to hire date or job transfer date. + Licensed Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... + **Schedule: M-F** + **Hospital: Seton Family of Hospitals** + **Location: Remote (Austin, TX)** **Benefits** Paid time off (PTO) Various health insurance options… more
- Centene Corporation (Austin, TX)
- …County (Texas).** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
- Cardinal Health (Austin, TX)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more