RN, Clinical Review Nurse - Austin

· Overview · The Peer Review Nurse advances patient safety, quality of care, and professional accountability by coordinating peer review, supporting Ongoing Professional Practice Evaluation (OPPE/FPPE), conducting clinical audits, and participating in Root Cause Analyses (RCAs). ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

Your future role at a glance · Location: Remote · Facility: Dell Children's Medical Center - Austin · Department: Utilization Management · Schedule: Days l Full-time · Salary range: $78, $110,905.60 per year · #UM2026 · Life at Ascension: Where purpose meets opportunity · Ascensi ...

Your future role at a glance · Location: Remote · Facility: Dell Seton Medical Center at the University of Texas - Austin, TX · Department: Utilization Management · Schedule: Days l Full-time · Salary range: $78, $110,905.60 per year · #UM2026 · Life at Ascension: Where purpose m ...

Your future role at a glance · Location: Remote · Facility: Ascension Seton Williamson - Round Rock, TX · Department: Utilization Management · Schedule: Days l Full-time · Salary range: $78, $110,905.60 per year · #UM2026 · Life at Ascension: Where purpose meets opportunity · Asc ...

Registered Nurse Manager Utilization Review Manage effective utilization review processes. · Manage effective utilization review processes. · Collaborate with the director to develop and implement quality review programs. · Interact with medical, nursing, and executive leadership ...

Location: Remote · Facility: Dell Seton Medical Center at the University of Texas - Austin, TX · Department: Utilization Management · Schedule: Days l Full-time · Salary range: $78, $110,905.60 per year · UM2026 · Evaluate medical necessity for admissions and service requests to ...

Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides ...

Overview · Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right tim ...

Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides ...

Overview · Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right tim ...

Job summary · Manage effective utilization review processes and oversee day-to-day operations of the department.Collaborate with director to develop quality review programs. · Interact with medical leadership to facilitate quality based patient statusing. · ...

You will evaluate the medical necessity, appropriateness, and efficiency of healthcare services in order to ensure optimal patient outcomes while adhering to payer guidelines. · ...

You thrive in a fast-paced environment and are excited by the opportunity to join a fast-growing company with unlimited opportunities for growth & competitive benefits. · ...

LanceSoft is seeking a local contract nurse RN PACU - Post Anesthesia Care Manager for a local contract nursing job in Austin, Texas. · Job Description & Requirements · Specialty: PACU - Post Anesthesia Care · Discipline: RN · Start Date: ASAP · Duration: 52 weeks · 40 hours per ...

Skyline Med Staff Nursing seeks a travel CVOR RN for Austin, Texas. This 13-week assignment requires 36 hours of work per week. · Key Details · Specialty: CVOR · Discipline: RN · Employment Type: Travel · The pay package is an estimate based on hourly wage and potential stipends ...

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Austin, Texas. · Job Description & Requirements · Specialty: Utilization Review · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, ...

Skyline Med Staff Home Health is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Austin, Texas. · Job Description & Requirements · Specialty: Cardiac Cath Lab · Discipline: RN · Start Date: 03/22/2026 · Duration: 13 weeks · 40 hours per week · Shift: 8 hour ...

Job Description: · Holy Rosary has a busy 8 bed emergency department with a broad scope of services. We see approximately 5,000 patients, annually, and are a regional hub for critically ill or injured patients. HRH has walk-in care 7 days per week to increase access to care and a ...

Job Description: · The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique needs of patients on the unit, both ...