- Elevance Health (TX)
- …patients, patients with IDD and patients with special needs is preferred. + Home Health , Utilization Management or Case Management experience strongly ... nursing and minimum of 2 years of condition specific clinical or home health /discharge planning experience; or any combination of education and experience, which… more
- HCA Healthcare (Pasadena, TX)
- …and integrity. We care like family! Jump-start your career as a Behavioral Health Utilization Review RN MSW today with Parallon. **Benefits** Parallon offers ... Eligibility for benefits may vary by location._** Come join our team as a Behavioral Health Utilization Review RN MSW. We care for our community! Just last year,… more
- Evolent (Austin, TX)
- …requests, implementation of initiatives, and educational processes to achieve targeted utilization management results established at both the health plan ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...**Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... work **1 company holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- CenterWell (Austin, TX)
- …Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual **Use your skills to make an impact** ... largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- CenterWell (Austin, TX)
- …Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual We offer tangible and intangible benefits such as ... largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is… more
- CenterWell (Austin, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Utilization Management (UM) Administrative...to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for… more
- CenterWell (Eastland, TX)
- …available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet ... and long-term disability, life insurance and many other opportunities. **About Us** About CenterWell Home Health : CenterWell Home Health specializes in… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …South Texas Veterans Health Care System is currently seeking a Physician ( Home Based Primary Care) to provide high quality patient centered care to Veterans for ... and goals; participate in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality and Patient Safety oversight,… more