Texas Nurse Case Manager & Utilization Review
AvonRisk LLC
AvonRisk is seeking a Medical Case Management nurse in Texas to balance case management and utilization review, ensuring timely, quality care and cost-effective treatment. You will triage claims within 24 hours, coordinate with physicians, employers, and adjusters, and apply evidence-based guidelines across state rules. Texas resident with an active RN license and at least 1 year clinical experience is required; California UR experience is a plus. #J-18808-Ljbffr AvonRisk LLC
- AvonRisk is a leading risk management firm specializing in workers’ compensation, liability, managed... ...management across 32 states. The Medical Case Management nurse role in Texas blends case management with utilization review in a hybrid work arrangement. The nurse coordinates...Suggested
- AvonRisk is seeking a Medical Case Management nurse (RN) to ensure maximum medical and disability improvement through early intervention... ...employers. Responsibilities include triage, pre-authorization, utilization review, and ensuring timely communication among all parties. #J...Suggested
$60.52k - $129.62k
...and one community at a time. Case Manager (RN) - Field Location: Mesquite... ...territory Position Summary Nurse Case Manager (RN) for a work-... ...Dallas & Surrounding Areas in Texas In this role, you will... ...Collaborate in multidisciplinary care reviews to optimize member health...SuggestedHourly payFull timeTemporary workLocal areaRemote workWork from homeFlexible hours- ...Nurse Care Manager At Suvida Healthcare, we are not just caregivers... ...and managing complex cases and populations. This... ...and promote efficient utilization of resources. The... ...pharmacist for review post-discharge. Reviews... ...s Preferred Active Texas or Multi-state Compact...SuggestedLocal area
$78k - $85k
...AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting... ...to succeed. Summary This is a hybrid role of nurse case management and utilization review. Position must be based in Texas and will perform Texas reviews and cases. The...SuggestedFull timeLocal area- ...Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively... ...RN - Registered Nurse - Texas State Licensure - Texas... ...of discharge planning, utilization management, case... ...policy, and thoroughly. Reviews chart for medical...Permanent employmentWork at officeLocal areaWeekend work
- ...As a Registered Nurse Case Manager, your voice to influence patient care is... ...care and appropriate resource utilization. Your responsibilities... ...facility located north of Austin, Texas. This comprehensive medical... ...Case Manager opening. We review all applications. Qualified...Temporary workLocal areaFlexible hours
- Overview The Registered Nurse Case Manager - Transitions of Care is a clinically... ..., and conduct medication reviews to promote safe andeffective... ...emergency room visits.Utilize population health strategies... ...practice nursing in the State of Texas -Required Basic Life Support...Work experience placementLive in
- Centene seeks a licensed nurse to perform concurrent reviews of inpatient admissions for pediatric and adult members within the LA Medicaid... ...experience. Knowledge of Medicare/Medicaid regulations and utilization management is preferred. #J-18808-Ljbffr Centene CorporationRemote jobWeekend work
- ...and programs are comprised of network management and clinical coverage policies.Coordinates... ...progressConducts multidisciplinary review to achieve optimal outcomesIdentifies and... ...Evaluation and Documentation of Care: Utilizes case management and quality management processes...Temporary work
$1,402 - $1,497 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: GQR Healthcare Pay: $1,402 to $1,497 per... ...find a qualified Utilization Review RN in Austin, Texas, 78723! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job...Hourly payWeekly payFull timeContract workImmediate startShift work- ...Medix is seeking a highly skilled Utilization Review Nurse Specialist for a fully remote role in the United States. The RN will assess medical necessity and level-of-care decisions, collaborating with physicians and payers to ensure appropriate care and revenue integrity...Remote work
$1,402 - $1,497 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: GQR Healthcare Pay:... ...About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Austin, Texas Start Date: October 6, 2026 Profession...Hourly payWeekly payFull timeContract workImmediate startShift work$1,492 - $1,724 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: National Staffing Solutions Pay: $1,492 to $1,724 per week... ...Solutions to find a qualified Utilization Review RN in Austin, Texas, 78723! Details of the RN - Utilization Review opening...Full timeContract workShift work- Overview The RN Case Manager for High Risk Populations will serve... ...practices professional nursing as defined by the Texas Board of Nursing, Texas Nurse... ...hospital referral reviews, discharge planning, medication... ...emergency department utilization. Integrates preventive and...Work experience placementLive inWork at officeLocal area
- ...Summary and Qualifications As a Registered Nurse Case Manager, your voice to influence patient care... ...optimal care and appropriate resource utilization. Your responsibilities will include:... ...license from a state other than Texas must: apply for a TX RN license within...Temporary workReliefFlexible hours
$1,662 - $1,749 per week
...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: RN Utilization Review (Travel/Contract...Contract workImmediate startShift work- ...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...Remote work
- Position: Remote Registered Nurse (RN) Case Manager Location: Austin, TX Remote Status: Remote Job... .... Nurseline triage, Call Center Utilization Management, Call Center Case Management... ...promotion from within. Exceptions will be reviewed on a case-by-case basis to assess...Remote jobTemporary workWork at officeImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work
- ...private employer of Registered Nurses, we’re honored by the trust... ...Summary and Qualifications As a Case Manager, your role will be to support... ...is affiliated with the Texas Institute for Robotic Surgery... ...Our Talent Acquisition team is reviewing applications for our Registered...Temporary workReliefFlexible hours
$1,402.36 - $1,497.36 per month
...Contract – W2 Case Management/Utilization Review Registered Nurse (RN) JobLocation: 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...Hourly payWeekly payContract workShift work- ...Summary: Uniti Med is looking for a Registered Nurse (RN) in Austin, Texas. This assignment lasts 13 weeks and is... ...bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award...Hourly payWeekly payTemporary workImmediate start
$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...Hourly payWeekly payContract workShift work$1,492 - $1,724 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: National Staffing Solutions Pay: $1,492 to $1,724 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 10/13/2026 About the Position...Full timeContract workShift 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... ...experience as a Registered Nurse with at least 1 year of...Hourly payFull timeLocal areaRemote workWork from homeFlexible hours$60.52k - $129.62k
.... Position Summary The Case Manager RN role is 100% remote work from... ...tools and information/data review, conducts an evaluation of... ...overall claim management. Utilizes case management processes in... ...Long Term Care, and Infusion nursing. Preferred Qualifications...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift- ...Responsibilities Texas NeuroRehab Center is a specialized treatment facility located... ...accepting applicants for a PRN Case Manager. The Case Manager will coordinate patient... ...licensing guidelines. Facilitate weekly utilization review meeting. Benefits for a Case Manager Challenging...ReliefLocal area
$1,662 - $1,749 per week
...Job Description Position Details Specialty: RN Utilization Review Location: Austin, Texas Employment Type: Travel/Contract Pay: $1662 -... ...boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying...Contract workImmediate startShift work$58.8 per hour
...Role: Registered Nurse (RN) - Case Manager Comp: $58.80 / point | $85k-$105k per years Mileage in addition to productivity comp Schedule: Full-... ...acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access...Full timeMonday to FridayFlexible hoursWeekend work- ...As a Registered Nurse Case Manager, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative... ...in Bee Cave and Bastrop. The facility is affiliated with the Texas Institute for Robotic Surgery, providing advanced robotic...Temporary workFlexible hours
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