- CVS Health (Austin, TX)
- …more compassionate. And we do it all with heart, each and every day. Utilization Management - Infertility Precertification unit **Position Summary** This is a ... Work at Home role. Working hours are Mon-Fri 8-5pm in your...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous...Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** **This is a work at home position with working hours of one of the following shifts 8:00/8:30/9:00 AM - ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… more
- ChenMed (Houston, TX)
- …patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing ... and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management ...of care/LOS. + Validates Discharge plan for safe transition home , utilization of preferred providers or timely… more
- AccentCare, Inc. (Lake Jackson, TX)
- …as needed, etc. + Reporting and management of case management model with focus on paraprofessional utilization - including correct ... What You Need to Know Reimagine Your Career in Home Health Caring for others is more than what...Responsibilities: + Daily completion of the following tasks: daily management of KPIs, field staff support, verbal orders, workflow,… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** HCA Houston… more
- HCA Healthcare (Cypress, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current employer? We have an… more
- HCA Healthcare (Brownsville, TX)
- …Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** Valley Regional ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Pasadena, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current employer? We have an exciting ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more