8 um nurse jobs at 6 companies in Texas
1mo
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UM Nurse
San Antonio, Texas, United States
OnsiteFull Time
5+ YOEActive RN or LVN license, 5+ years managed care/UM experience, EMR and basic office software proficiency, ability to review medical records, compose denial letters, and meet UM delegation requirements.
EMR, Word processing software, Spreadsheet software, Internet, Database software
1mo
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UM Nurse
San Antonio, Texas, United States
OnsiteFull Time
5+ YOEActive unencumbered RN or state-licensed practical nurse (LVN) with clinical/managed care experience; 5+ years in managed care/UM preferred; EMR and computer proficiency; ability to lift up to 40 lbs and work in clinic/office environment.
EZ Cap, EMR, ODAG, Internet
1w
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Care Manager RN - UM (Full-Time) Weekends (Remote)
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$68k-$106k/yr RemoteFull Time
3+ YOERequires 3 years of progressive clinical experience, RN experience, PA or eNLC licensure, regulatory knowledge, data analysis, communication, organization, and computer skills.
HIPAA
2mo
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Case Manager RN WellMed Parkdale
Corpus Christi, Texas, United States
$60k-$107k/yr OnsiteFull Time
4+ YOERN with 4+ years clinical experience, CCM preferred, strong UM/discharge planning, RN license in state, nursing degree combo.
Microsoft Office
1mo
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Utilization Management Clinical Reviewer
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$88k-$93k/yr RemoteFull Time
2+ YOEActive unrestricted RN license, U.S. citizenship, favorable DoD background investigation, 2+ years clinical and 2+ years UM experience, Microsoft Office proficiency, strong communication and critical thinking.
Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, InterQual, TriWest Intranet
2mo
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Utilization Management LVN (Hybrid)
Dallas, Texas, United States
HybridFull Time
2+ YOEActive LVN licensure (or willingness to obtain, CA), 2+ years case management experience, knowledge of payer requirements, strong communication and organizational skills, proficiency with Microsoft Word/Excel/PowerPoint/Outlook, and ability to apply UM criteria.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Milliman Care Guidelines (MCG)
2mo
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Utilization Management RN (Hybrid)
Dallas, Texas, United States
HybridFull Time
2+ YOECurrent CA RN licensure or willingness to obtain, 2+ years bedside acute care, 2+ years case management, knowledge of payer requirements, strong communication and organizational skills, basic MS Office skills, ability to apply UM criteria, typing 50 WPM.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Milliman Care Guidelines (MCG)
3w
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Director of Utilization Management
Amarillo, Texas, United States
OnsiteFull Time
2+ YOE2+ MgmtBachelor's in social services or nursing (or equivalent experience), ≥2 years psychiatric/chemical dependency experience, ≥2 years supervisory experience, UM process expertise, proficiency with Outlook/Excel/PowerPoint/Word, CPR and behavioral de-escalation training.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word