RN Utilization & Prior Authorization Specialist
W3R
W3R is seeking a Texas Licensed Registered Nurse for a role focused on conducting reviews to optimize member healthcare outcomes across Texas. This position does not involve direct patient care but requires working closely with healthcare providers to ensure high quality, cost-effective medical services. The ideal candidate must be available for 8-hour shifts and possess experience in pediatric and chronic care management. Strong communication skills and knowledge of healthcare resources are essential. #J-18808-Ljbffr W3R
- ...Position Overview Candidate should reside in Texas. Harbor Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior authorization and utilization review activities to ensure timely and appropriate access to care. This role collaborates...SuggestedLocal areaRemote workMonday to FridayShift work
- Utility Specialist (Coast to Coast Distribution-Austin Location) Job Title: Utility Specialist Location: 8801 Research Blvd Suite 100 Austin, TX 78758 Company Overview As a leading independent convenience store cooperative, Coast to Coast Distribution (CCD) offers extensive...SuggestedFull timeImmediate startFlexible hoursShift work
- What to Expect The Sr. Environmental, Health and Safety (EHS) Specialist, Utilities & Maintenance, is responsible for driving, influencing, and achieving EHS process excellence, regulatory compliance, and overall risk reduction throughout Utility Operations and Maintenance...SuggestedHourly payFull timeTemporary workFor contractorsFlexible hours
- Harboroaks is seeking a professional in Austin, Texas, to proactively monitor service utilization for patients, optimize reimbursement for the facility, and liaise between managed care organizations and clinical staff. The ideal candidate has a high school diploma with...Suggested
- ...Utilization Management Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential... ...Designations/Certifications: Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility...SuggestedReliefWork at office
- A nonprofit healthcare organization in Austin is seeking a dedicated RN to deliver comprehensive nursing care and coordinate patient treatment. The ideal candidate will possess active Texas RN licensure and BLS certification, with a strong emphasis on patient assessment...
- ...SOUTH AUSTIN MEDICAL CENTER is seeking a qualified Registered Nurse (RN) for a 13-week night shift contract in the BMT/ONC unit. The RN... ...license and ONS/ONCC Chemotherapy Immunotherapy Certification. Prior oncology nursing experience is essential for the role. The position...Contract workNight shift
- A leading healthcare facility in Austin is seeking a Registered Nurse for the Nursery, responsible for planning and evaluating care for newborn patients. The ideal candidate should have a minimum of 1 year of clinical nursing experience and an Associate's degree in Nursing...
$2,150 - $2,263 per week
A healthcare recruiting firm is looking for an experienced RN-EP-Electrophysiology Lab for a travel contract in Austin, Texas. With the potential to earn between $2150 and $2263 per week for a 13-week assignment, this role offers a unique opportunity to make a difference...Contract work- A mobile healthcare provider is seeking a skilled Vascular Access Registered Nurse (RN) to join their team in Austin, Texas. The role focuses on the assessment, placement, and management of vascular access devices for IV therapy. Candidates must have an active RN license...
- ...instruments, collaborating with the healthcare team, and assisting surgeons to ensure optimal patient outcomes. Candidates must possess RN licensure from the Texas Board, along with Advanced Life Support and BLS certifications. Join us for a rewarding career with...Full timeAfternoon shift
$34.85 - $68.55 per hour
Maximus is hiring for an RN, Bilingual Health Specialist to support the CDC INFO Call Center in Austin, Texas. This role involves providing advanced clinical inquiry responses related to disease control and prevention including bioterrorism and emergency situations. Applicants...Remote jobHourly pay- Ascension is seeking a Registered Nurse at Seton Medical Center-Austin in Interventional Radiology. In this full-time role, you will provide high-level nursing care during complex procedures, ensuring patient safety and comfort. You will monitor vital signs, assist the ...Full time
$15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours- 120 LocusView Solutions Incorporated is hiring an FP&A Specialist (Contractor) in Austin, Texas. This hybrid role focuses on financial reporting and analysis, crucial for various business areas including Software Licensing and Partner Programs. The perfect candidate will...For contractors
$11.11 per hour
...Representative in Austin, Texas. This role involves assisting the Provider Relations Team to educate the provider community on Prior Authorizations. Candidates should have at least 2 years of relevant experience and be efficient with Microsoft Office. Strong teamwork...Hourly payWork at office- ...outpatient services, out of network services, and appropriateness of treatment setting within the scope of professional limitations by utilizing the applicable rules of the Texas Administrative Code (TAC), Texas Health and Human Services Commission (HHSC) approved medical...Contract workAll shiftsShift work
- ...Job Title: Utility Specialist Location: 8801 Research Blvd Suite 100 Austin, TX 78758 Company Overview As a leading independent convenience... ...to successfully complete all job-required pre-employment authorizations, trainings, and assessments within a prescribed time period...Full timeImmediate startFlexible hoursShift work
- A leading nonprofit health system in Austin is looking for a full-time Registered Nurse to assist in surgical procedures at Dell Children's Medical Center. The ideal candidate must have a nursing diploma and relevant certifications including BLS and Advanced Life Support...Full time
- ...Overview MasTec Utility Services delivers critical infrastructure construction and engineering services for power delivery, gas,... ...stronger, more innovative organization. Job Summary The Safety Specialist is responsible for acting as the front-line safety...For contractorsWork experience placementLocal area
- ...participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the... ...Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
$71.1k - $97.8k
...A leading health services organization is seeking a Utilization Management Registered Nurse in Austin, Texas. This remote position involves... ...receive appropriate care. The ideal candidate will have an RN license and over one year of clinical experience. The role offers...Remote work$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the... ...Required Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year of clinical...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must hold an active RN license and have at least two years of behavioral health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr...InternshipRemote workWeekday work
- ...Under general supervision, the Post Closing Specialist successfully handles Investor and Portfolio loans from funding to completion. This... .... Essential Functions Investor and Portfolio Loan Process Utilize knowledge and expertise to properly identify type of loan and...Work at officeImmediate startRemote workWeekend workAfternoon shift
$3,000 - $4,999 per month
...Working at HHS webpage. Job Details Functional Title: Program Specialist IV Job Title: Program Specialist IV Agency: Health & Human Services... ...multiple program areas and IT systems. Encourage and utilize suggestions and innovative ideas. Conduct advanced research, analyze...Full timeContract workTemporary workPart timeWork experience placementWork at officeRemote workFlexible hoursShift work- ...image. Operating computers and other technological devices to access email, internet websites for business marketing, and company-utilized software. Preparing, locating, and compiling information and documents. Responding to issues outside of normal work schedule when...ApprenticeshipSeasonal workLocal area
- A leading solar manufacturing company in Austin, Texas is seeking an Electrical Engineer to manage and execute electrical utilities for its manufacturing facility. You'll oversee design and commissioning of electrical systems, ensuring safety and compliance. The role requires...
- ...Production Specialists work in a dynamic, creative and fast-paced environment to create and assemble sign and graphic products for many... ...ladder or mechanical lift system. Careful attention to detail utilizing work orders that outline specifics for each custom order is paramount...
$3,000 per month
...Position Overview Payment Posting Specialist I We are seeking a motivated, detail-oriented professional to join our Family Pay department... .... Demonstrating a positive attitude and working autonomously. Utilizing Excel, Word, Central Reach, and Office Ally as required....Hourly payFull timeWork at officeLocal areaRemote workFlexible hours
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