1958 Remote Rn Case Manager jobs in Austin,TX

Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)

Molina Healthcare

Austin, TX 78701

At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Compact license is acceptable where states allow.
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and
Healthcare Common Procedure Coding (HCPC).
Experience working within applicable state, federal, and third-party regulations.
Analytic, problem-solving, and decision-making skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Common look proficiency.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.

Adecco

Austin, TX 78745

Active Registered Nurse (RN) license
Home Health experience
Schedule: Full-Time | Monday – Friday | 8:00 AM – 5:00 PM
Must be able to lead and supervise clinical staff to deliver top-quality patient care
Must coordinate and oversee individualized patient care plans
Must ensure compliance with Medicare & regulatory standards
Must collaborate with patients, caregivers, and healthcare providers
Must drive performance through quality improvement initiatives
Must mentor and develop staff through coaching and education
Must promote a culture of excellence, safety, and compassion

Apex Focus Group

Austin, TX 78716

TOUCHMARK

Round Rock, TX 78664

Current RN License
1-2 years' experience working with older adults in a health care setting
CPR/AED and First Aid certification (as per state requirements if it must be kept current)
Possess a willingness to continue learning and improving skills, as well as a commitment to confidentiality
Ability to process care plans and other required documents in an efficient timeframe
Must exemplify the Touchmark values of Excellence, Teamwork, Hospitality, Integrity and Compassion
Possess a genuine interest in caring for elderly residents and working in a geriatric environment
Be able to maintain patient and tactful composure when dealing with residents, family members, staff members and visitors
Schedule will be Sunday - Thursday