• Utilization Management Nurse…

    Humana (Austin, TX)
    …and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Actalent (Houston, TX)
    … Management ) 100% Remote Job Description The role of the Utilization Management Nurse involves performing concurrent reviews, determining the member's ... Essential Skills + 2+ years of utilization management experience + Active Texas RN license...Associate's degree in Nursing. + Texas Registered Nurse License. + Strong multitasking and time management… more
    Actalent (09/19/25)
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  • Registered Nurse , Remote…

    ChenMed (Houston, TX)
    …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (09/17/25)
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  • 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • RN , Manager, Utilization…

    Humana (Austin, TX)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization ...business administration. **Additional Information** + **Workstyle:** This is a remote position. + **Travel:** Up to 25% travel may… more
    Humana (09/28/25)
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  • Utilization Review RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... efficient resource use. **Schedule** + You will work primarily remote . + Will be required to work onsite at...their needs. + Proficiency in discharge planning, setting case management referral standards, reviewing utilization , and categorizing… more
    Baylor Scott & White Health (08/29/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Austin, TX)
    …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (10/02/25)
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  • Utilization Management Nurse…

    CVS Health (Austin, TX)
    …for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
    CVS Health (10/01/25)
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  • Director Utilization Management…

    Texas Health Resources (Arlington, TX)
    …Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management -Clinical Review _Are you looking...Core work hours: Monday-Friday 8:00a-5:00p. This position is hybrid remote /onsite. Vast majority of time will be remote… more
    Texas Health Resources (09/25/25)
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  • Senior LTSS Service Care Manager, RN

    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 ... competitive benefits including a fresh perspective on workplace flexibility. ** Remote RN Care Manager covers the San...required + **Preferred Experience:** + 4+ year of Clinical Registered Nurse with experience in Acute Care… more
    Centene Corporation (07/31/25)
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