- Humana (Austin, TX)
- …case management referrals and any other specific market initiatives. + Performing concurrent review and/or discharge planning for all Humana Medicare/Medicaid ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication… more
- HCA Healthcare (Round Rock, TX)
- …to external agencies (as required) and internal committees. + Performs daily concurrent chart review to ensure compliance with evidence-based program measures ... apart from any other healthcare provider. We are seeking a(an) Registered Nurse Disease Management Coordinator to join our healthcare family. **Benefits** St.… more
- HCA Healthcare (Austin, TX)
- …and phone calls with patients and/or families as needed + You will review patient charts to insure appropriate utilization of hospital resources and facilities + ... You will provision clinical information to 3rd party payers in support of...facilitate interdisciplinary care conferences + You will prepare and review data analyses related to the effective of services:… 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