Top 346 Nurse case managers Jobs in Plano, Tx

TX, RN Certified Case Manager - Workers Compensation
The Reny Company —Dallas, TX
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- Research
- Mileage reimbursement
- Disability insurance
Quick Apply
Nurse Navigator - Neurosurgery
Methodist Health System —Dallas, TX
- Full-time
- Nursing
- Bachelor of Science
- Mid-level
- Wellness program
- Health insurance
Case Manager RN - Remote
Optum —Richardson, TX
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
Quick Apply
3d
Telephonic Triage Nurse Case Manager (Remote) 2026-1475
Sedgwick Government Solutions —Dallas, TX
- $75,000 - $80,000 a year
- Full-time
- Remote
- Background check
- Nursing
- Microsoft Excel
- Health savings account
- Disability insurance
Case Management RN
Oscar Health —Dallas, TX
- $32.60 - $42.79 an hour
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Sr. Quality of Care Review Nurse
Oscar Health —Dallas, TX
- $83,628.00 - $109,761.75 a year
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
Case Manager (CM)
Texas Rehabilitation Hospital of Plano —Plano, TX
- Full-time
- RN License
- Hospital
- Physical & Rehabilitation Medicine
- Disability insurance
- Health insurance
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
CCM Case Management RN
Oscar Health —Dallas, TX
- $32.60 - $42.79 an hour
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
2d
Personal Health Nurse - Remote
Conifer Care Continuum —Frisco, TX
- $64,168 - $96,262 a year
- Day shift
- Remote
- Microsoft Word
- Nursing
- RN License
- Health savings account
- AD&D insurance
9d
Clinical Intake/Triage Nurse- Remote
Ria Health —Dallas, TX
- Weekends as needed
- Remote
- Nursing
- Addiction Medicine
- RN License
- COVID-19 protective measures
- Health insurance
Quick Apply
Case Coordinator
Methodist Health System —Dallas, TX
- Part-time
- Nursing
- RN License
- Hospital
Palliative Case Manager
Methodist Health System —Richardson, TX
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Manager Case Management
Medical City Heart & Spine Hospitals —Dallas, TX
- Full-time
- Surgery
- Mid-level
- 3 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
Nurse Care Mgr I (contract)
Elevance Health —Dallas, TX
- Contract
- Hybrid work
- Nursing
- RN License
- Bachelor of Science
- Health savings account
- Disability insurance
2d
RN Home Health Case Manager
Everkind Home Health Care —Plano, TX
- $40 - $50 an hour
- Part-time
- Hybrid work
- Patient monitoring
- RN License
- HIPAA
Quick Apply
6d
Care Manager, Remote (LPN)
SalvoHealth —Dallas, TX
- $25 - $26 an hour
- Remote
- Spanish
- Google Workspace
- Mid-level
Quick Apply
Registered Nurse (Texas)
Tuesday Health —Dallas, TX
- Remote
- Nursing
- Clean driving record
- RN License
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse - MOOV - Frisco
Vituity —Frisco, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Wellness program
- Commuter assistance
RN Case Manager - Revenue Cycle
Baylor Medical Center at Frisco (10812) —Frisco, TX
- Full-time
- Nursing
- RN License
- Computer literacy

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TX, RN Certified Case Manager - Workers Compensation

The Reny Company -
Dallas, TX

Quick Apply

Job Details

Full-time
$80,000 - $90,000 a year

Benefits

Mileage reimbursement
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Flexible schedule
Life insurance
Paid sick time

Qualifications

Utilization review
RN License
Research
Case management
Clinical documentation
Workers' compensation
Certified Case Manager

Full Job Description

Currently seeking TX, LA, OK RN for a full-time Pre Auth/ Certified Case Manager in the TX area (either Houston or DFW). The ideal candidate will be a RN with Pre Auth/Case Management experience in worker’s compensation and also certified in case management.

Responsibilities of the RN Pre-Auth/ Certified Case Manager - Workers Compensation

Conducts prospective review of authorization requests including selected specialties, medical treatments and services, elective hospital admissions, ancillary services, home care and out of network referrals. The nurse makes clinical decisions based on established criteria and regulatory requirements. Prepares documentation and manages the utilization of membership, conducts chart review for medical appropriateness of services, and ensures that quality care is delivered in a cost-effective, timely manner. The Pre-Authorization Nurse works in coordination with an interdisciplinary team to achieve the organization mission as well as department specific goals and objectives.
Research and recommend resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return to work if appropriate.
Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work.
Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
Evaluate medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines.
Works closely with injured worker, claims adjusters, employers, and medical providers to ensure best possible medical care is received for the Worker Compensation injury.
Partner with claim professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.
Submit accurate billing documentation on all activities as outlined in established guidelines.
Perform other duties assigned.
Remote position- 85% telephonic & 15% field cases

Requirements of the RN Pre-Auth/Case Manager - Workers Compensation

Graduate of an accredited school of Nursing with a BSN preferred
Must be a Registered Nurse
3-5+ years nursing experience
Workers' compensation and UR experience strongly preferred
Strong technology, organizational and documentation skills a must
Able to work independently, be proactive, and assertive.
need to be a CCM

Benefits:

NO HANDS-ON NURSING REQUIRED!!!!
Remote position: DFW or Houston preferred location, will consider adjacent locations.
Top Salary and excellent benefits including Health Insurance and 401K

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible schedule
Health insurance
Life insurance
Mileage reimbursement
Paid sick time
Paid time off
Vision insurance

Schedule:

8 hour shift
Monday to Friday

Willingness to travel:

25% (Required)

Work Location: Remote

Quick Apply

Refine Your Search

nurse case managers jobs in plano, tx

TX, RN Certified Case Manager - Workers Compensation

Nurse Navigator - Neurosurgery

Case Manager RN - Remote

Telephonic Triage Nurse Case Manager (Remote) 2026-1475

Case Management RN

Sr. Quality of Care Review Nurse

Case Manager (CM)

Utilization Review Nurse

CCM Case Management RN

Personal Health Nurse - Remote

Clinical Intake/Triage Nurse- Remote

Case Coordinator

Palliative Case Manager

Manager Case Management

Nurse Care Mgr I (contract)

RN Home Health Case Manager

Care Manager, Remote (LPN)

Registered Nurse (Texas)

Registered Nurse - MOOV - Frisco

RN Case Manager - Revenue Cycle

I want to receive the latest job alert for nurse case managers in plano, tx

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