• Utilization Management Nurse

    CVS Health (Austin, TX)
    …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
    CVS Health (08/08/25)
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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 Registered Nurse 2 utilizes clinical nursing skills to ... determination of the appropriate courses of action. The SNF Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
    Humana (08/09/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may...experience as an RN + Active and unrestricted RN licensure… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse

    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
    CenterWell (08/02/25)
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  • Utilization Management Clinical…

    CVS Health (Austin, TX)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (07/31/25)
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  • Utilization Review Nurse - Case…

    Houston Methodist (The Woodlands, TX)
    …includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...state, local, and federal programs + Progressive knowledge of utilization management , case management , performance… more
    Houston Methodist (07/12/25)
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  • Utilization Review Specialist RN

    Houston Methodist (Sugar Land, TX)
    …includes three 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 ) who comprehensively...to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of… more
    Houston Methodist (07/29/25)
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  • Program Mgr UR/Case Management - CMC…

    UTMB Health (Friendswood, TX)
    …from an accredited school of Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum of five (5) years full-time wage ... and completes a formal preceptor plan in accordance with Utilization Management Policy 09.04. + Identifies and...earning experience as a professional nurse in a healthcare setting with at least two… more
    UTMB Health (08/01/25)
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  • Director of Case Management & Social…

    Houston Methodist (Houston, TX)
    …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
    Houston Methodist (08/02/25)
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