RN Case Manager & Utilization Review Specialist
AvonRisk
AvonRisk is hiring a Medical Case Management nurse in Texas for a hybrid role combining case management and utilization review. You will coordinate care, assess medical necessity, and work with the claims team to drive timely, evidence-based decisions for injured workers. The position requires an active California RN license and at least 1 year of clinical experience, with preferred familiarity in California workers’ compensation and UR processes. Competitive benefits are included. #J-18808-Ljbffr AvonRisk
- AvonRisk LLC is seeking a Medical Case Management nurse in Texas for a hybrid role combining case management and utilization review. The nurse coordinates care, communicates with providers, the injured worker, and employer to achieve optimal medical and disability outcomes...Suggested
- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...SuggestedRemote work
$1,402.36 - $1,497.36 per month
...Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Austin, Texas Start Date: October 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1402.36 - $1497.36 Duration:13 weeks Specialty:Case Management...SuggestedHourly payWeekly payContract workShift work- ...Summary: Uniti Med is looking for a Registered Nurse (RN) in Austin, Texas. This assignment lasts 13 weeks... ...Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-...SuggestedHourly payWeekly payTemporary work
$1,402.36 - $1,497.36 per month
...Contract – W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Austin, Texas Start Date: October 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1402.36 – $1497.36 Duration: 13 weeks Specialty: Case Management/Utilization Review...SuggestedHourly payWeekly payContract workShift work$78k - $87k
...leading specialty risk manager for self-insured organizations... .... Summary: The Medical Case Management nurse is a... ...case management and utilization in Texas. The case... ...management and utilization review Domiciled in Texas,... ...must possess an active RN license in California,...Local area$1,662 - $1,749 per week
...Job Description Job Description Position Details Specialty: RN Utilization Review Location: Austin, Texas Employment Type: Travel/Contract Pay: $1662 - $1749 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week Position...Contract workImmediate startShift work- ...: Remote Registered Nurse (RN) Case Manager Location: Austin, TX Remote... ...talented team of benefit specialists, nurses, pharmacists, case... ...Nurseline triage, Call Center Utilization Management, Call Center... ...within. Exceptions will be reviewed on a case-by-case basis to...Remote jobTemporary workWork at officeImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work
$88k - $140k
...Job Description Job Description RN, Case Manager (Field based position servicing Austin and surrounding areas) Feel the Value of Excellence... ...services (within the worker’s compensation industry) by utilizing professional judgment and discretion, applying professional...Permanent employmentFlexible hoursNight shift- ...Nurse Care Manager At Suvida Healthcare, we are... ...and managing complex cases and populations. This... ...and promote efficient utilization of resources. The Nurse... ...follow up with PCP or specialist within 7 days of discharge... ...pharmacist for review post-discharge. Reviews...Local area
- ...Position Summary The hospice RN provides comprehensive, professional... ...individualized plans of care, managing symptoms, and offering... ...care across settings. Using a case management approach, the RN coordinates... .../family/caregiver wishes. Utilizes proper infection control and...Immediate startShift work
- ...TX Facility: Dell Seton Medical Center Department: Case Management Schedule: Days | Full-time How you'll make an... ...of stay, and prevent avoidable readmissions. Conducts utilization reviews and communicates with third-party payors to secure authorizations...Full timeLocal area
$77k - $202k
...Description & SummaryThe OpportunityAs an Oracle Utilities - Senior Associate, you will play a... ...Customer Experience (CX) and Revenue Management Cloud Service (RMCS) to enhance client... ...for improved customer data management- Reviewing and validating the quality and accuracy...Full timeH1b$60.2k - $107.4k
...Healthcare Manager Explore opportunities with WellMed, part of the Optum family of businesses... ...all nursing duties within the scope of a RN license of the applicable state board of... ...reconciliation establishing and reviewing contingency plan providing patient education...Minimum wageFull timeWork experience placementWork at officeLocal area- Halcyon Home LLC in Austin, Texas is seeking a dedicated In-Office Home Health RN Case Manager to support our growing geriatric population. This role includes supervising clinical staff, reviewing patient assessments, and ensuring quality compliance. We offer excellent...Work at office
- ...Case Manager Career Opportunity PRN Opportunities Recognized for... ...and department operations. Review/analyze case management reports... ...record. Participate in utilization review process: data collection... ...her discipline (for example, RN, SW, OT, PT, ST, and...Full timeContract workPart timeReliefFlexible hours
- ...NeuroRehab Center is currently accepting applicants for a PRN Case Manager . The Case Manager will Coordinate patient care throughout... ...regulatory and licensing guidelines. Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include...ReliefLocal area
$54k - $57k
...Provide comprehensive, client-centered case management to Veterans and their families who are... ...services, including housing assistance, utility assistance, mental health services, medical... ..., and program requirements. Regularly review and discuss assigned caseloads with the...Full timeShift workNight shiftWeekend work- Texas Health and Human Services Commission (HHSC) is seeking a Program Specialist IV to support PASRR specialized services reviewers, adjudicate requests, and ensure accurate authorization decisions within the IDD Services and PASRR section. This senior role provides policy...
- ...Registered Nurse Case Manager - Transitions Of Care The... ...of health. The RN CM Transitions of Care... ...advanced practice providers, specialists, social workers, and... ...and conduct medication reviews to promote safe and effective... ...room visits. Utilize population health...Work experience placementLive in
- ...inpatient care to optimize clinical outcomes, manage length of stay, and prevent avoidable readmissions. Conducts utilization reviews and communicates with third‑party payors to... ...: Dell Seton Medical Center Department: Case Management Schedule: Days | Full‑time How you...Full timeLocal area
- Home Health RN Case Manager (Office-Based) Halcyon Home LLC Austin, Texas, United States About this position Halcyon Home is hiring an In... ...and support clinical staff including nurses and therapists Review and approve patient assessments, care plans, and documentation...Work at office
- JAMS, Inc. is seeking a Case Manager to provide vital administrative support for arbitration and mediation panels. You will manage case files, coordinate hearings, and deliver exceptional client service while maintaining strong relationships with panelists and management...
- ...transforming patients' lives. Our priority is to care: For our patients, for each other, and for the future.As a home care registered nurse (RN), you will ensure hospice patients are comfortable and forge compassionate, meaningful connections with the people in their lives....Work at officeLocal area1 day per week
- ...RN Case ManagerYou can make a difference in the lives of others! At Heart to Heart Hospice, we provide "compassionate care from our hearts to yours." Our employees enhance the lives of patients with life-limiting illnesses and their loved ones, during a time when compassionate...Local area
$1,888 per month
...Name SOUTH AUSTIN HOSPITAL TX Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18167633 Job Title RN - Case Manager Weekly Pay $1888.0 Shift Details...Weekly payShift work$54.1k - $155.54k
...Inc (AHH) is a medical management company that is a division... ...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers... ...Perform medical necessity reviews. Required... ...hospital setting. The AHH RN Case manager position requires...Hourly payFull timeLocal areaRemote workWork from homeFlexible hours- We are currently seeking qualified candidates for a full time Registered Nurse (RN) Case Manager position in the Austin area. Job Description: This is an out-patient position, that requires an independent and experienced RN. The RN-Case Manager is an integral part...Full timeMonday to FridayWeekend work
- ...We are currently seeking qualified candidates for a full time Registered Nurse (RN) Case Manager positionin the Austinarea. Job Description: This is an out-patient position,that requires an independent and experienced RN. The RN-Case Manager is an integral part of the...Full timeMonday to FridayWeekend work
- ...hiring for an Accounts Payable Specialist. Responsible for processing... ...water and wastewater utilities, drainage improvements, lift... ...pay with ongoing performance review and merit increase401(k) with... ...partner, and childrenDiabetes Management, Telehealth Coverage, Prescription...For contractorsLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Case Manager & Utilization Review Specialist. Be the first to apply!



