- Sharecare (Austin, TX)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Prime Therapeutics (Austin, TX)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- MD Anderson Cancer Center (Houston, TX)
- …the public. *POSITION SUMMARY:* The primary purpose of the Clinical Programs askMDAnderson Registered Nurse Care Manager is to provide transitions in care via ... Participates fully in all customer service data collection and management processes, using standard or customized software with proficiency...setting, to include experience as a case manager, triage nurse , utilization review nurse , call… more
- Humana (Austin, TX)
- …and passions. **Use your skills to make an impact** **Required Qualifications** + ** Registered Nurse ( RN )** **with current, unrestricted licensure** + BSN ... 20% 2. Review and monitor Contract Change Orders and evaluate impact on Utilization Management processes. Organize and facilitate Change Order workgroup and… more
- Centene Corporation (Austin, TX)
- …other duties as assigned. + Complies with all policies and standards. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... including a fresh perspective on workplace flexibility. Performs care management duties to assess and coordinate all aspects of...NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization… more
- Texas A&M University System (Fort Worth, TX)
- …Four years of related clinical experience in obstetrics as an Advanced Practice Registered Nurse , including experience in managing and collaborating on high-risk ... APRN license in the State of Texas + Board Certification as a Certified Nurse Midwife (CNM), Women's Health Care Nurse Practitioner (WHNP-BC (TM) ), or… more
- Actalent (Houston, TX)
- …management , and discharge planning. + Proficiency with InterQual. + Active Compact RN License. + Utilization Management /Concurrent Review experience. + ... Job Title: Review Nurse Job Description The Review Nurse ...successful completion of cases. Essential Skills + Experience in utilization management , concurrent review, prior authorization, … more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more