• Utilization Review RN…

    Baylor Scott & White Health (Dallas, TX)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... vary based on position type and/or level **Job Summary** + You will review patient cases for medical necessity and establish service suitability. You'll educate the… more
    Baylor Scott & White Health (08/31/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Round Rock, TX)
    …at St. David's Round Rock Medical Center! **Job Summary and Qualifications** **The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care...encourage you to apply for our Registered Nurse Case Manager opening. We review all… more
    HCA Healthcare (08/26/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Austin, TX)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
    Centene Corporation (09/06/25)
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  • UM Behavioral Health Nurse

    Humana (Austin, TX)
    …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes...Complete medical record reviews + Assess discharge plans + Review and extract information from claims + Complete documentation… more
    Humana (09/09/25)
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  • Telephonic Nurse Case Manager II

    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 ... an office. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (09/03/25)
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