• 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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  • 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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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and...or BSN + Current licensure in Texas as a Registered Nurse **Benefits** The Woman's Hospital of… more
    HCA Healthcare (09/04/25)
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