• Supervisor, Utilization Management

    Centene Corporation (Austin, TX)
    …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
    Centene Corporation (10/02/25)
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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. + ... of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical… more
    Humana (09/28/25)
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  • Utilization Management Nurse…

    Humana (Austin, TX)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... 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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  • 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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  • Utilization Management Nurse…

    CVS Health (Austin, TX)
    … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... 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 for a rewarding career with family-friendly hours and top-notch benefits? We're looking for… more
    Texas Health Resources (09/25/25)
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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 ... 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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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (Houston, TX)
    …state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Sr Utilization Review Specialist…

    Houston Methodist (Houston, TX)
    …includes five years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for...special project activities related but not limited to, throughput, utilization review and utilization management … more
    Houston Methodist (08/26/25)
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  • Utilization Review Case Mgr - Galv. Campus…

    UTMB Health (Galveston, TX)
    …school of professional nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage earning ... experience as a professional nurse in a health care setting. **JOB DESCRIPTION :**...of medical services, procedures, and facilities. Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise,… more
    UTMB Health (09/24/25)
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