California Nurse Case Manager & Utilization Review
InterMed Cost Containment Services
AvonRisk is seeking a Medical Case Management nurse to hybrid manage casework and utilization review in Texas. The role coordinates care between the injured worker, employer, and providers to achieve optimal medical and disability outcomes, guided by evidence-based guidelines. Responsibilities include triaging claims, early contacts, coordinating disability management, and performing UR with physician input, while ensuring timely communications with all parties involved. #J-18808-Ljbffr InterMed Cost Containment Services
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the California Nurse Case Manager & Utilization Review in Austin, TX vacancy
- 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... ...review using evidence-based guidelines. California-specific rules apply, with emphasis on cost...Suggested
- 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... ...workers. The position requires an active California RN license and at least 1 year of...Suggested
- 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
$78k - $87k
...leading specialty risk manager for self-insured... ...Summary: The Medical Case Management nurse is a hybrid position... ...case management and utilization in Texas. The case manager... ...and utilization review ~ Domiciled in Texas... ...Utilization Review for California will be performed in...SuggestedLocal areaAvonRisk
Austin, TX15 days ago- ...Nurse Care Manager At Suvida Healthcare, we are not just caregivers; we... ...tracking, and managing complex cases and populations. This nurse... ..., and promote efficient utilization of resources. The Nurse Care... ...and clinical pharmacist for review post-discharge. Reviews and...SuggestedLocal area
Suvida Healthcare
Austin, TX3 days ago - ...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
Medix
Austin, TX2 days ago - ...As a Registered Nurse Case Manager, your voice to influence patient care is valued and empowered... ...optimal care and appropriate resource utilization. Your responsibilities will include... ...Nurse Case Manager opening. We review all applications. Qualified candidates...Temporary workLocal areaFlexible hours
HCA Mission Hospital - Memorial Campus
Round Rock, TX3 days ago - ...Sunday. At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for... ...knowledge of discharge planning, utilization management, case management, performance... ...timely, per policy, and thoroughly. Reviews chart for medical necessity and facilitation...Permanent employmentWork at officeLocal areaWeekend work
- Overview The Registered Nurse Case Manager - Transitions of Care is a clinically experienced registered... ...education, and conduct medication reviews to promote safe andeffective therapy... ...prevent avoidable emergency room visits.Utilize population health strategies such as preventive...Work experience placementLive in
- 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
$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 hoursCVS Health
Austin, TX4 days ago- ...Insight Global is searching for a Case Management Nurse to join their clients team. The ideal candidate will utilize clinical expertise to review and coordinate medical care for injured... ...Active Utah Compact RN License and California RN License (Or in the process of obtaining...
Insight Global
Austin, TX4 hours ago $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 workNational Staffing Solutions
Austin, TX1 day ago$1,402 - $1,497 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: GQR Healthcare Pay: $1,402 to $1,497 per week Contract... ...Review RN in Austin, Texas, 78723! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location...Hourly payWeekly payFull timeContract workImmediate startShift workTravelNurseSource
Austin, TX1 day ago$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 workTravelNurseSource
Austin, TX1 day ago$1,402 - $1,497 per week
...Registered Nurse (RN) | Utilization Review Location: Austin, TX Agency: GQR Healthcare Pay: $1,402 to $1,497 per week Contract... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location...Hourly payWeekly payFull timeContract workImmediate startShift workGQR Healthcare
Austin, TX1 day ago- Overview The RN Case Manager for High Risk Populations will serve as... ...The RN practices professional nursing as defined by the Texas... ...Complete hospital referral reviews, discharge planning, medication... ...avoidable emergency department utilization. Integrates preventive and...Work experience placementLive inWork at officeLocal area
$60.52k - $129.62k
...time. Position Summary: The Case Manager RN role is 100% remote work from... ...tools and information/data review, conducts an evaluation of member... ...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- ...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
First Connect Health
Austin, TX4 days ago - ...Health Group is a nationally recognized managed healthcare company with over 35 years of... ...personally. Why Join TRIUNE Health Group as a Nurse Case Manager? Be part of a well-established,... ...the employer, and the referral source. Utilize the steps of Case Management to provide...Hourly payFull timeTemporary workPart timeWork at officeWork from homeHome officeFlexible hours
$50k
...Nurse Advocate Valeris is a fully integrated life sciences commercialization... ...support to help better manage the stress involved in their... ...manufacturer practices Utilize Valeris' values as the driving... ...Utilization Management, Call Center Case Management, a plus. ~ Case...Remote jobFull timeTemporary workWork at officeImmediate startWork from homeHome office$60.52k - $129.62k
...one family and one community at a time. Case Manager (RN) - Field Location: Mesquite, Balch Springs... ..., 75% within territory Position Summary Nurse Case Manager (RN) for a work-from-home... ...Collaborate in multidisciplinary care reviews to optimize member health results...Hourly payFull timeTemporary workLocal areaRemote workWork from homeFlexible hours- ...Summary: Uniti Med is looking for a Registered Nurse (RN) in Austin, Texas. This assignment lasts 13... ...Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning...Hourly payWeekly payTemporary workImmediate start
UnitiMed
Austin, TX4 days ago $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 workGQR Global Markets
Austin, TX3 days ago$60.52k - $129.62k
...one person, one family and one community at a time. Remote RN Case Manager (Case Management & Utilization Management) Aetna National Medical Excellence (NME) is seeking an experienced Registered Nurse (RN) Case Manager to join our growing team. This is a fully...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayWeekend work$1,492 - $1,724 per week
Details of the RN - Utilization Review opening in Austin, TX: Anticipated Start Date: 11/10/2026 Anticipated Pay Range: $1492.43 - $1723.58... ...origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr Travel Nurse Source- ...Job Description Case Manager Career Opportunity Hiring for Full... ...and department operations. Review/analyze case management... ...patient record. Participate in utilization review process: data... ...Minimum Qualifications: ~ For Nursing, must possess minimum of an...Full timeContract workPart timeReliefFlexible hours
Encompass Health
Round Rock, TX1 day ago $26.01 - $68.55 per hour
...community at a time. This role requires the nurse to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained... ...or systems. Apply clinical decision-making to utilize appropriate clinical criteria and policies for...Hourly payFull timeTemporary workLocal area$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) We're hiring experienced RN...Contract workImmediate startShift work$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United States Position ID: P-756324 Position status: On Hold Assignment type: travel Shift: Days Length (weeks): 13 Openings: 1 Start date: 2026-11-10 $1,759.50/week...Weekly payWork experience placementLocal areaRemote workShift work
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