- Centene Corporation (Austin, TX)
- …state of Texas** **RN, LCSW, LMHC, PLC, LMFT, LMHP** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
- Humana (Austin, TX)
- …utilization management functions which include timely authorizations related to pre-certification, concurrent review , referrals, and other plan services. + ... us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards… more
- Ascension Health (Austin, TX)
- …continuing education initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and ... for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire… more