Top 29 Utilization review nurse Jobs in Schertz, Tx

RN Case Manager El Paso Texas- Remote
Optum —Schertz, TX
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
5d
Hospital - Utilization Review Care Coordinator (RN)
University of Texas Health Science Center at San Antonio —San Antonio, TX
- Nursing
- RN License
- Hospital
7d
Hospital - Utilization Review Care Coordinator (RN)
UT Health Science Center at San Antonio —San Antonio, TX
- Nursing
- RN License
- Hospital
7d
Quality Documentation Improvement Coordinator
University Health —San Antonio, TX
- $32.50 - $49.00 an hour
- Full-time
- Nursing
- RN License
- Mid-level
7d
Nurse Navigator
University of Texas Health Science Center at San Antonio —San Antonio, TX
- 8 hour shift
- CPR Certification
- Nursing
- Microsoft Excel
- AD&D insurance
- Paid holidays
Registered Nurse Care Manager - Pediatric Rheumatology
Christus Health —San Antonio, TX
- 8 hour shift
- Spanish
- CPR Certification
- Nursing
2d
Nurse Case Manager
University Health —San Antonio, TX
- $32.50 - $51.00 an hour
- Full-time
- Nursing
- LVN
- RN License
- Disability insurance
- Health insurance
Nurse Navigator
UT Health Science Center at San Antonio —San Antonio, TX
- 8 hour shift
- CPR Certification
- Nursing
- Microsoft Excel
- AD&D insurance
- Paid holidays
Registered Nurse Case Manager (RN)
North Central Baptist Hospitals —San Antonio, TX
- Full-time
- Nursing
- RN License
- Hospital
- Health savings account
- Health insurance
4d
Medical Records Manager- RN/LVN
Touchstone Communities —Bulverde, TX
- LVN
- RN License
- Mid-level
- Tuition reimbursement
- Paid time off
Quick Apply
Maternal Program Nurse Case Manager
University Health —San Antonio, TX
- Full-time
- Spanish
- Nursing
- RN License
- Loan repayment program
- Gym membership
Quick Apply
Hospital Case Manager
Gonzaba Medical Group —San Antonio, TX
- Full-time
- Spanish
- CPR Certification
- Nursing
- Mileage reimbursement
Quick Apply
Home Health Case Manager RN or LVN In Office Full Time Family Owned
Tricare Home Health Services Inc —San Antonio, TX
- $50,000 - $80,000 a year
- Full-time
- Spanish
- CPR Certification
- LVN
- Paid holidays
- Paid time off
Quick Apply
3d
Director of Nursing
Castle Hills Post Acute —San Antonio, TX
- $100,000 - $150,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
7d
MDS/RAI Coordinator
Trident LTC —San Antonio, TX
- Part-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
Director of Nursing
Castle Hills Rehabilitation and Care Center —San Antonio, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
7d
Nurse Practitioner - PRN Neurology - San Antonio, TX
BHS Physician Network, Inc —San Antonio, TX
- PRN
- CPR Certification
- Nursing
- BLS Certification

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Hospital - Utilization Review Care Coordinator (RN)
University of Texas Health Science Center at San Antonio —San Antonio, TX
The Utilization Review (UR) Care Coordinator in the Care Management Department will be responsible for ensuring the appropriate use of healthcare resources…
7d
Hospital - Utilization Review Care Coordinator (RN)
UT Health Science Center at San Antonio —San Antonio, TX
The Utilization Review (UR) Care Coordinator in the Care Management Department will be responsible for ensuring the appropriate use of healthcare resources…
7d

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Valid driver’s license in the state of Ohio with an acceptable driving record required, unless waived by management. Must possess current CPR certification.
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RN Case Manager El Paso Texas- Remote

Optum -
Schertz, TX

Quick Apply

Job Details

Full-time
$60,200 - $107,400 a year
5 days ago

Qualifications

Microsoft Excel
Microsoft Outlook
RN License
Windows
Managing patients as a nurse case manager
Driver's License

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As Telephonic RN Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. You will also be responsible for providing health education, coaching and treatment decision support for members.

If you reside in El Paso, TX, you will have the flexibility to work remotely*, as you take on some tough challenges.

Primary Responsibilities:

Make outbound calls and receive inbound calls to assess members' current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Make referrals to outside sources
Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current, unrestricted RN license in the state of Texas
Ability to obtain multi-state RN Licensure
3+ years of experience as a Registered Nurse in varied settings
1+ years of case management experience
Proficient Microsoft skills (Word, Excel, Outlook, Windows 10)
Access to high-speed internet from home (Broadband Cable, DSL, Fiber)
Dedicated, distraction-free workspace in home for home office
Driver's License and access to reliable transportation

Preferred Qualifications:

BSN
Compact RN license
Certified Case Manager (CCM)
High risk pregnancy experience
Experience educating patients with complex conditions
Disease management experience
Experience or exposure to discharge planning
Experience in utilization review, concurrent review or risk management
Telephonic nursing experience
Background in managed care, hospital, acute care settings

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Quick Apply

Refine Your Search

utilization review nurse jobs in schertz, tx

RN Case Manager El Paso Texas- Remote

Hospital - Utilization Review Care Coordinator (RN)

Hospital - Utilization Review Care Coordinator (RN)

Quality Documentation Improvement Coordinator

Nurse Navigator

Registered Nurse Care Manager - Pediatric Rheumatology

Nurse Case Manager

Nurse Navigator

Registered Nurse Case Manager (RN)

Medical Records Manager- RN/LVN

Maternal Program Nurse Case Manager

Hospital Case Manager

Home Health Case Manager RN or LVN In Office Full Time Family Owned

Director of Nursing

MDS/RAI Coordinator

Director of Nursing

Nurse Practitioner - PRN Neurology - San Antonio, TX

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