- Cognizant (Austin, TX)
- …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals 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 ... 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
- CVS Health (Austin, TX)
- …+ Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in ... with diverse cultural dynamics of clinical staff and patients. Registered Nurse ( RN ) required. Licensed...late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you… more
- CVS Health (Austin, TX)
- …heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any ... late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you...the coordination and administration of the utilization /benefit management function. **Required Qualifications** + RN with… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Molina Healthcare (TX)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Houston, TX)
- …and experience. or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). Clinical licensure and/or certification required ... deadlines. * Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications * Registered Nurse ( RN ). License must be active… more
- HCA Healthcare (San Antonio, TX)
- …or Registrations Required: Has and maintains ONE of the following:** A. Licensed Registered Nurse to practice professional nursing in the state of Texas ... **Description** **This is a Thurs-Sat 7am-7pm shift schedule with partial remote work.** **Introduction** Do you want to join an organization that invests in you as… 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
- Parexel (Austin, TX)
- …Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… more