- 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Elevance Health (Houston, TX)
- ** Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:**… more
- Elevance Health (Grand Prairie, TX)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- 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...for supporting the goals and objectives of the Disease Management program by providing high quality telephonic … more
- CVS Health (Austin, TX)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Elevance Health (Houston, TX)
- ** Telephonic Nurse Case Manager II** **Hours: Monday - Friday 9 - 5:30 pm EST, plus 3 times a month 11:30 - 8 pm EST.** **Location:** This role enables ... service members in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care … more
- Baylor Scott & White Health (Mckinney, TX)
- …Associate's degree in nursing. Specialty Certification strongly encouraged. Knowledge of care management , resource and utilization management . Skilled in ... outcomes by effectively managing care and resources to reduce unnecessary utilization . **Location: McKinney, TX** **Setting: Case Management ** **Schedule: Full… more
- Apex Health Solutions (Houston, TX)
- …and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider ... Summary Responsible for providing case management services and support to improve health outcomes...on a case by case basis Education Education: Registered Nurse (RN) LICENSES/CERTIFICATIONS: Registered Nurse (RN) with… more
- Houston Methodist (Houston, TX)
- …At Houston Methodist, the Care Manager I position is a licensed registered nurse (RN) who works collaboratively with the interprofessional healthcare team to provide ... professional nursing care and disease management to various population groups identified in the hospital...FUNCTIONS** + Actively manages assigned panel of patients, using telephonic interaction as the mode of delivery that includes… more