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Utilization review nurse jobs in Austin, TX

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Utilization Review Nurse
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  • Labor and Delivery - LD RN - Travel Nurse

    Travel Nurse Across America 4.5company rating

    Utilization review nurse job in Austin, TX

    We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Austin, TX. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of ababy. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery. As an L&D Travel Nurse, you should be prepared to perform the following tasks: Stay with and monitor patient throughout labor. Monitor contractions and help patients with breathing techniques. Check cervix periodically to monitor progression/lack of dilation. Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process. Aid physician with drapes, gloves, gowns, delivery instruments, etc. Immediate care of newborn. L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, NRP, STABLE, AWHONN, 3 Years * Additional certifications may be required before beginning an assignment.
    $62k-120k yearly est. 1d ago
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Austin, TX

    **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly Easy Apply 29d ago
  • Clinical Review Nurse - Concurrent Review

    Actalent

    Utilization review nurse job in Austin, TX

    Schedule: Tuesday-Friday, 10:00 AM - 9:00 PM CST; overtime as needed; weekends and holidays on a rotation basis Business Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring appropriate care, medical necessity, and discharge planning in alignment with clinical policies and guidelines. This role is fully remote but requires a Compact State Nursing License and the ability to work Central Standard Time hours. Key Responsibilities + Conduct concurrent reviews to determine member health status, appropriate level of care, and medical necessity + Review acuity, resource consumption, length of stay, and discharge planning for quality and continuity of care + Collaborate with Medical Affairs and Medical Directors on member care decisions + Document review findings, discharge plans, and actions in health management systems per utilization management policies + Work with providers to approve determinations or provide recommendations based on review findings + Educate providers on utilization processes to ensure high-quality care + Review transfer and discharge plans to ensure timely transitions between care levels + Collaborate with care management teams for member referrals Requirements + Graduate from an accredited School of Nursing or BSN with 2-4 years of related experience + Required Licensure: LPN/LVN or RN - Compact State License + Strong time-management skills and ability to work independently + Experience with electronic medical records (Epic, Trucare, Trucare Cloud preferred) + Knowledge of Medicaid regulations and utilization management processes preferred + Proficiency in Microsoft Word, Excel, and EHR systems Must Haves: + Compact Nursing License + Strong time-management and self-motivation + Experience with EMR systems + Medicaid or insurance-related knowledge + Prior utilization management experience Disqualifiers: + Inability to work weekends or holidays Job Type & Location This is a Contract position based out of Austin, TX. Pay and Benefits The pay range for this position is $33.00 - $40.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 16, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
    $33-40 hourly 9d ago
  • Peer Review Nurse

    Central Health 4.4company rating

    Utilization review nurse job in Austin, TX

    The Peer Review Nurse advances patient safety, quality of care, and professional accountability by coordinating peer review, supporting Ongoing Professional Practice Evaluation (OPPE/FPPE), conducting clinical audits, and participating in Root Cause Analyses (RCAs). This role serves as a key liaison among providers, compliance, nursing, quality, and leadership, ensuring that findings from reviews and audits translate into sustainable improvements in clinical practice, patient outcomes, and systems of care. *** This position is located in Austin, Texas, To be considered for this role, you must reside in the greater Austin area. *** Responsibilities Essential Functions: Peer Review: Coordinate and facilitate peer review in accordance with bylaws, policies, and accreditation standards. Facilitate preparation of peer review committee meetings and associate materials with clinical leadership, legal and compliance. Screen, review, and prepare cases for committee review. Partner with physician and APP reviewers to ensure objective, equitable, and consistent evaluation of clinical care. Track, document, and report peer review outcomes, ensuring timely feedback, education, and follow-up. Safeguard the confidentiality of peer review activities and records. Clinical Auditing: Conduct routine and targeted clinical audits to evaluate compliance with standards, guidelines, and regulations. Analyze data on outcomes, adverse events, complications, and provider performance. Identify trends, risks, and opportunities for system or process improvement. Develop and present clear audit reports to Quality, Risk Management, and leadership committees. Ongoing Professional Practice Evaluation (OPPE/FPPE) Collect, analyze, and report provider performance data to support credentialing and privileging decisions. Collaborate with service chiefs, committees, and medical staff services to evaluate practitioner competence and professionalism. Track and monitor key indicators such as complications, readmissions, complaints, and regulatory triggers. Assist with dashboards, performance reports, and improvement strategies based on OPPE/FPPE findings. Root Cause Analyses (RCAs) & Quality Improvement: Participate in RCAs for sentinel events, near misses, and high-risk occurrences. Collaborate with interdisciplinary teams to identify contributing factors and system vulnerabilities. Support corrective action plan development, monitoring, and evaluation. Partner with providers, nurses, and leadership to design and implement QI projects informed by peer review, audits, and RCAs. Apply evidence-based practices and improvement methodologies (PDSA, Lean, Six Sigma) to drive measurable change. Provide education and coaching on QI methods to staff and providers. Collaboration & Education: Act as a liaison across nursing, providers, quality, and leadership teams to align review and evaluation processes. Prepare and deliver reports, dashboards, and presentations on peer review, OPPE/FPPE, audits, and improvement initiatives. Promote a culture of accountability, professionalism, and high reliability. Qualifications QUALIFICATIONS: Education: Bachelor's Degree (higher degree accepted) In Nursing - (BSN) - Required Work Experience: 3-5 years of clinical nursing experience. - Required Experience in quality management, peer review, provider performance evaluation, or patient safety - Preferred Licenses and Certifications: Unrestricted Registered Nurse (RN) License in the State of Texas Upon Hire - Required
    $64k-76k yearly est. Auto-Apply 16d ago
  • Project Coordinator, Utility Coordination

    Cobb, Fendley & Associates, Inc. 4.4company rating

    Utilization review nurse job in Austin, TX

    Job DescriptionDescription: Since 1980, CobbFendley has been committed to providing innovative engineering and surveying solutions with the goal of bettering communities. Our multi-discipline approach allows for the efficient completion of projects through experienced staff who focus on client communication. We are always seeking talented and qualified professionals to enhance our ability to provide clients with exceptional service. Are you ready to Join Our Block and advance your career? At CobbFendley, people are our most valued resource. We offer a(n): New Hire Program // We understand changing jobs can be intimidating, CobbFendley has established a program geared specifically to the successful onboarding and integration of new hires into the firm Development Opportunities // Professional and personal growth through innovative in-house training and collaborative resources Compensation + Benefits // Competitive compensation package with comprehensive benefits including 401(k) Matching and Profit-sharing Contributions; Employee Stock Ownership Plan (ESOP); Health, Vision, and Dental Insurance; Short-Term and Long-Term Disability Insurance; Employer Funded and Voluntary Life Insurance; Tuition Reimbursement; and Continuing Education Programs Paid Parental Leave // FMLA-eligible employees will receive fully paid leave in the amounts of eight (8) weeks for maternity cases and two (2) weeks for paternity or adoptions cases Winter Holiday // Extended office closure from December 25 through January 1 to relax and enjoy the holidays Community Engagement // CobbFendley Cares focuses on STEM Education, Hunger Relief, and Sustainable Solutions CobbFendley is seeking an experienced Project Coordinator in our Austin, Texas Office. Requirements: QUALIFICATIONS Minimum 7 years of experience in project coordination or administrative support roles. Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint). Experience with Project Financial Planning and Tracking systems (preferably Deltek systems like VantagePoint) for project setup and financial tracking. Familiarity with spreadsheets to track project management tools is a plus. Prior experience in engineering firms or technical environments is highly desirable. Strong organizational, communication, and multitasking skills. Ability to work independently and collaboratively in a fast-paced environment. RESPONSIBILITIES This is not an exhaustive list of responsibilities and are subject to change, including additional duties as assigned. Perform in a support role to Project Mangers in the Utility Coordination Department on project related activities that assist with the overall delivery of projects (i.e., activities that are billable to projects). Project Setup & ERP Management Initiate and configure new projects in Project Financial Planning and Tracking systems (preferably Deltek systems like VantagePoint), ensuring accurate data entry and alignment with organizational standards. Budget & Invoice Support by assisting Project Managers with budget tracking, forecasting, and invoice processing. Monitor and track invoices to ensure timely approvals and payments. Provide Administrative Support for the Department, including managing calendars and schedules for the Department Leadership, scheduling meetings, arranging travel plans, and coordinating limited Department events COBBFENDLEY CHARACTERISTICS We Collaborate // with a professional attitude making communication a priority. We Commit // to maintaining a safe and inclusive work environment, with a focus on accountability. We Build Communities // by fulfilling our responsibilities with integrity that is consistent with industry standards. PHYSICAL/COGNITIVE REQUIREMENTS + ENVIRONMENTAL FACTORS Most work is performed professional office environment. Seated and Standing Position. Extended periods of sitting and standing in an upright position at a workstation. Mobility. Movement within the office including navigating between floors and workstations. Neck Movement. Forward flexion, extension, or lateral rotation of the head and neck while using multiple computer screens. Repetitive Motion. Repetitive finger movements for operating a computer mouse and typing on a keyboard. Arm Movement. Extending hands and arms in various directions, such as overhead, below the waist, forward, or laterally. Object Handling. Raising or lowering objects from one level to another and transporting objects by holding them in the hands, arms, or over the shoulder. Cognitive Requirements. Selective attention, oral comprehension, oral expression, speech recognition, speech clarity, written comprehension, written expression, problem sensitivity, deductive reasoning, inductive reasoning, number facility, information ordering, category flexibility, flexibility of closure, fluency of ideas, and originality. Office Conditions. Includes extensive use of electronic devices such as computers, printers, copiers, scanners, plotters, and telephones. Additionally, tasks may involve the use of cutting tools and equipment like rotary paper cutters and plotting devices. EXPECTED WORK HOURS This is a full-time position, generally 40 hours per week, however, hours may fluctuate depending on department needs including the use of overtime. CobbFendley's standard operating hours are Monday through Friday, 7:30 AM to 4:30 PM CST. Generally, employees receive a 1-hour unpaid lunch break free of duty. Please note, operating hours and lunch hours may differ based on project workload, primarily for field staff. WORK LOCATION FLEXIBILTY This position is eligible for a hybrid schedule once the training period is complete as established by the department. EQUAL EMPLOYMENT OPPORTUNITY Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. EEO is the Law (English) EEO is the Law (Spanish) EEO is the Law - Poster Supplement MISCELLANEOUS Pre-Employment Screenings. All offers of employment at CobbFendley are contingent upon the prospective employee passing a drug screening, physical exam (if applicable), and various background verifications (including but not limited to 10-year history of the county, state, federal, and a 5-year history of motor vehicle records). CobbFendley complies with all applicable state and federal laws regarding said screenings. Unless and only to the extent state or federal law limits CobbFendley's drug-testing requirements for initial hiring, all candidates for employment are subject to pre-employment drug screening verification which may include a panel drug test for use of marijuana and other substances that may be lawful under state law but unlawful under federal law. A positive result may lead to disqualification of candidacy or termination from employment to the extent permitted by law. CobbFendley reserves all rights with respect to its drug-testing, other pre-employment screenings, and workplace policies and procedures. External Recruiting Agencies. CobbFendley does not and will not accept unsolicited resumes under any circumstances from independent recruiters, recruiting agencies, or similar entities. Recruiting activity on behalf of a candidate does NOT constitute CobbFendley's acceptance of terms and conditions without prior contractual agreements signed by authorized CobbFendley personnel. Unsolicited resumes through any channels including cold calling, emails, applications, social media messaging, etc., will not be reviewed. Work Authorization + Sponsorship. Cobb, Fendley & Associates, Inc. participates in E-Verify. E-Verify is an Internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA). The E-Verify system uses federal databases to rapidly validate individual identities and work eligibility from the information gathered in the Form I-9. CobbFendley will not sponsor applications of work visas. We understand that this could affect your decision to apply with these conditions in mind. Applicant Accommodations. Consistent with the Americans with Disabilities Act (ADA) it is the policy of CobbFendley to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for the Company. The policy regarding requests for reasonable accommodation applies to all aspects of the hiring process. If reasonable accommodation is needed, please contact the HR Department at ************ or ******************. Drug-Free Workplace Conditions Medication Disclosure: Employees and job applicants shall receive notice of the most common medications, either by brand name, common name, or chemical name, that may alter or affect a drug test. A list of such medications shall be developed by the Agency for Health Care Administration. Contesting Positive Results: An employee or job applicant who receives a positive confirmed drug test result may contest or explain the result to the employer within 14 days after written notification of the positive test result. Responsibility to Notify the Laboratory: The employee or job applicant has the responsibility to notify the testing laboratory of any administrative or civil actions brought pursuant to this section. List of Drugs for Testing: A list of all drugs for which the employer will test can be supplied upon request, described by brand names or common names, as applicable, as well as by chemical names. Right to Consult the Testing Laboratory: Employees and job applicants are notified of their right to consult the testing laboratory for technical information regarding prescription and nonprescription medication.
    $38k-50k yearly est. 2d ago
  • Nurse Case Manager, Central Territory (Austin/South Texas)

    Argenx

    Utilization review nurse job in Austin, TX

    Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. The Nurse Case Manager (NCM) is the single point of contact for patients and their caregivers. They are aligned regionally and are responsible for educating patients, caregivers and families affected by generalized Myasthenia Gravis (gMG) about the disease and argenx's products and support services. The NCM may provide resources to help patients better manage their disease and coordinate their treatment. The NCM is responsible for participating in one-on-one communications with patients and their caregivers. Roles and Responsibilities: Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products Communicate insurance coverage updates and findings to the patient and/or caregiver Review and educate the patients and/or caregivers on financial assistance programs that they may be eligible for. Coordinate logistical support for patient to receive therapy and manage their disease Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues Engage with patients and provider case coordinators to ensure appropriate support is being given on an individualized basis Provide patient-focused education to empower patients to advocate on their behalf Develop relationships and manage multiple and complex challenges that patient and caregivers are facing Ensure compliance with relevant industry laws and argenx's policies Aligned regional travel will be required for patient education to support patient programs Must be an excellent communicator and problem-solver Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines Skills and Competencies: Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness to work cross-functional and independently Demonstrated ability to develop, follow and execute plans in an independent environment Demonstrated ability to effectively build positive relationships both internally & externally Demonstrated ability to be adaptable to changing work environments and responsibilities Must be able to thrive in team environment and willing to contribute at all levels with flexibility and a positive attitude Fully competent in MS Office (Word, Excel, PowerPoint) Flexibility to work weekends and evenings, as needed Participate in and complete required pharmacovigilance training Comply with all relevant industry laws and argenx's policies Travel requirements less than 50% of the time Education, Experience and Qualifications: Applicants must live in either Austin/South Texas Current RN License in good standing Bachelor's degree preferred 5+ years of clinical experience in healthcare to include hospital, home health, pharmaceutical or biotech 2-5+ years of case management 2+ years of experience in pharmaceutical/biotech industry a must Reimbursement experience a plus Bilingual or multilingual a plus #LI-Remote For applicants in the United States: The annual base salary hiring range for this position is $136,000.00 - $204,000.00 USD. This range reflects our good faith estimate at the time of posting. Individual compensation is determined using objective, inclusive, and job-related criteria such as relevant experience, skills, demonstrated competencies and internal equity. This means actual pay may differ from the posted range when justified by these factors. Because market conditions evolve, pay ranges are reviewed regularly and may be adjusted to remain aligned with external benchmarks. This job is eligible to participate in our short-term and long-term incentive programs, subject to the terms and conditions of those plans and applicable policies. It also includes a comprehensive benefits package, including but not limited to retirement savings plans, health benefits and other benefits subject to the terms of the applicable plans and program guidelines. At argenx, all applicants are welcomed in an inclusive environment. They will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer. Before you submit your application, CV or any other personal details to us, please review our argenx Privacy Notice for Job Applicants to learn more about how argenx B.V. and its affiliates (“argenx”) will handle and protect your personal data. If you have any questions or you wish to exercise your privacy rights, please contact our Global Privacy Office by email at privacy@argenx.com . If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at **************** . Only inquiries related to an accommodation request will receive a response.
    $53k-79k yearly est. Auto-Apply 18d ago
  • Pre-Admission Testing Nurse

    Communications & Power Industries 4.8company rating

    Utilization review nurse job in Austin, TX

    CPIhealth is an interventional pain practice with a multidisciplinary team dedicated to providing empathetic, compassionate, and comprehensive care to individuals experiencing chronic pain. With state-of-the-art facilities, advanced technology, and a collaborative environment, we offer a platform for healthcare providers to excel in their specialties while making a profound difference in the lives of those we serve. As you consider your next career move, we invite you to join us in redefining pain management through innovation, expertise, and a commitment to improving patient outcomes. Together, we can shape the future of healthcare and positively impact countless lives. We're looking for a skilled Pre-Admission Testing (PAT) Nurse to join our Ambulatory Surgery Center in South Austin, TX. ***************************** Responsibilities Conducts pre-operative assessments via telephone, reviewing patient health history, current medications, allergies, and prior surgical history. Communicates pre-surgical instructions including NPO guidelines, medication holds, and arrival times based on procedure type and facility protocols. Documents all patient interactions, assessments, and education provided in the electronic medical record (EMR) accurately and in real time. Performs thorough chart reviews to verify completion of pre-operative requirements, including labs, clearances, and testing as applicable. Collaborates with anesthesia, providers, and other clinical team members regarding abnormal results, special patient needs, or pre-op optimization concerns. Educates patients and their families on the surgical process, what to expect on the day of surgery, and any follow-up steps needed. Conducts post-procedure follow-up calls per protocol to assess patient recovery and provide additional instructions as needed. Triages patient concerns received via phone, communicates with providers for further direction, and appropriately documents encounters in the EMR. Participates in quality assurance initiatives, nursing peer review processes, and supports compliance with documentation standards. Maintains patient confidentiality and adheres to HIPAA and organizational privacy guidelines at all times. Assists with additional administrative or compliance-related tasks as assigned to support the surgical center's operational goals. Requirements High school diploma or equivalent required; successful completion of an accredited nursing program (LVN or RN) required. At least 2 years of relevant nursing experience preferred; experience in pre-operative care, ambulatory surgery, or telephone triage strongly preferred. Strong clinical judgment, communication, and critical thinking skills, with the ability to assess patient needs over the phone. Demonstrated ability to work independently, manage multiple priorities, and meet deadlines in a fast-paced environment. Cooperative and professional behavior toward patients, providers, peers, and visitors at all times. Proficiency in electronic medical records (EMR); experience with systems such as NextGen, SIS Complete or ECW preferred. Working knowledge of Microsoft Office applications (Word, Excel, Outlook). Ability to maintain patient confidentiality and adhere to HIPAA and privacy regulations. Ability to contribute in a team environment and support the organization's quality and compliance initiatives. Licenses & Certifications: Current state licensure as a Licensed Vocational Nurse (LVN) or Registered Nurse (RN), in good standing. BLS certification required (or must be obtained within 3 months of hire). ACLS preferred but not required for phone-based roles. Schedule: Monday - Thursday, 8am - 1pm Salary Description $28 - $32 per hour, DOE
    $28-32 hourly 10d ago
  • Transport Nurse

    Texas Children's Medical Center 4.5company rating

    Utilization review nurse job in Austin, TX

    We're looking for a Transport Nurse - someone who's ready to grow with our company. In this position you will provide quality care, treatment and stabilization of critically ill neonatal, pediatric, maternal, and adult congenital heart patients during fixed wing and short- and long-range ground transport. The Transport Nurse will collaborate with healthcare team members and associated resource personnel to problem solve and implement interventions to maximize patient outcomes.. The Transport Nurse is committed to safe operations, premier customer service and excellent clinical practice. Think you've got what it takes? QUALIFICATIONS: Required Bachelor's Degree in nursing or associate degree in nursing with acceptance or current enrollment in a BSN program and signed agreement (see comments below) or an associate degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license or Technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement (see comments below) or must be currently enrolled in a nursing bridge program working toward an MSN. Verified BSN-equivalency or a signed agreement is required. Required Licenses/Certifications (ALL) RN - Lic-Registered Nurses by the Texas Board of Nursing or Nurse Licensure Compact BLS - Cert-Basic Life Support by the American Heart Association PASSPORT - US Passport/Int'l Doc by the US Department of State or other appropriate documentation allowing international travel (Required within 4 months of hire) PALS - Cert-PALS by the American Heart Association (Required within 4 months of hire) NRP - Cert-Neonatal Resusci Prog American Academy of Pediatrics and the American Heart Association. (Required within 4 months of hire) ACLS - Cert-Adv Cardiac LS ACLS by the American Heart Association (Required within 6 months of hire) CNPT - Neonatal Pediatric Transport by the National Certification Corporation (Required within 18 months of hire) CCRN - Critical Care Registered Nurse by the American Association of Critical Care Nurses (Required within 18 months of hire) Required 3 years Critical care experience in a pediatric or neonatal intensive care setting OR 3 years Pediatric Emergency Center experience in a Level 1 trauma center with CPEN certification. RESPONSIBILITIES: Assessing, planning, implementing and evaluating care to critically ill patients including neonates, pediatric and adult patients. Ability to demonstrate critical thinking skills, to autonomously evaluate critically ill patients, and to provide therapeutic intervention, emergency interventions and preparation for transport. Assess for and detect changes in the status of the patient and demonstrate a proactive approach. Provides care and treatment with other health care team members for life support and/or stabilization of critically ill patients. Collaborates with other health care team members to problem solve, implement treatment modalities and interventions to maximize patient outcomes. Provides care within the policies, protocols, guidelines and scope of practice as defined by the State of Texas. Performs advanced skills and procedures as indicated. Maintains complete and accurate records. Demonstrates commitment and dedication to patients and families. Keeps the family informed of a patient's condition and plan of care. Serves as a patient/family advocate while caring for the patient and family. Maintains confidentiality concerning patient/family issues. Demonstrates commitment to program development and quality initiatives. Communicates effectively and maintains positive interpersonal relationships in working with colleagues, patients, families, outside institutions/agencies and the public. Demonstrates the ability to problem solve and adapt to ongoing change and handle conflict management with a professional supportive attitude. Communicates with medical on-line control regarding patient condition and treatment plan. Represents Texas Children's as a customer service ambassador. Acts as liaison and participates in outreach marketing and education activities. Participates in quality initiative programs, perform data collection and participates in research activities. Ensure smooth safe program operations. Ensures team shift responsibilities are completed: equipment checks, supply and medication inventory. Plans, organizes and positions equipment and supplies for use in emergency conditions. Completes missions initiated within the timeframe of assigned shift with the understanding that completion of these missions may require additional work beyond normal work hours. Ensures 10 hours of rest time prior to reporting for the scheduled shift. Demonstrates knowledge of and adherence to safety procedures/standards to ensure safety of self, patient, medical personnel and equipment. Participates in all debriefings, transport/code and rapid response events. Responsible for maintaining professional development of self and others. Maintains clinical competence across all aspects of the Transport Services - KC scope of service including ventilator management/nitric implementation/ECMO/Trauma and skills such as IO. Maintains competence in use of systems: Epic/Teletracking/Computer-Aided Dispatch/EMS charts and other systems as indicated. Consistently participates in education sessions and Quality Council. Assists patients, families, and caregivers in the understanding and participation of the plan of care. Acts as a resource to members of the healthcare team to ensure delivery of quality patient care.
    $48k-65k yearly est. Auto-Apply 60d+ ago
  • Wellness Nurse (LPN) - FT 2 PM - 10 PM

    Watercrest Senior Living Group

    Utilization review nurse job in Austin, TX

    SERVANT LEADERSHIP: Watercrest Senior Living Group associates answer a calling to serve seniors and their families every day. They are recognized for their achievements and empowered to share their vast experience with their peers ensuring the quality of our assisted living and memory care services and the well-being of our residents. Our associates champion a culture which nurtures relationships in the interest of acting as trusted advisors. By continuously investing in these servant hearts, Watercrest Senior Living Group develops value-centered leaders who deliver personalized services. GENERAL SUMMARY: The Wellness Nurse provides direct and indirect care to residents in a sensitive, professional, and effective manner. The Wellness Nurse performs his/her duties under the supervision of the Resident Wellness Director while adhering to mandated nursing standards. The Wellness Nurse is responsible for maintaining compliance with all state and federal regulations while utilizing the standards of care policies and procedures. ESSENTIAL JOB FUNCTIONS: * Servant Leadership directs all aspects of decision making * Serves as the "Charge Nurse for assigned shift ensuring residents are well cared for * Serve as the "Charge Nurse" in the absence of the Executive Director and Resident Wellness Director * Contributes to all aspects of medication management, including but not limited to; orders, administration, storage, documentation and as mandated by the State Regulations and Guidelines as well as Company policy and procedure * Assures resident rooms and common areas are clean and safe at all times * Assure that all resident care specialists are familiar with the residents' individual conditions and are trained to provide the resident services in an effective, professional and sensitive manner * Assist the residents with their self-medication or administration of medications * Responsible Limited Nursing license daily recommendations and documentation (if applicable) * Implements plans of care recommended by the Resident Wellness Director * Implements change in condition plans * Provides accurate and timely documentation of all care provided to residents * Assembles and maintains resident charting and accurately maintains all records * Completes accident and incident reports as required * Maintains relationships with residents, family members and responsible parties * Be prepared for and manage emergency situations including disasters, fire and other emergencies * Ensures adequate and appropriately trained resident care specialists are available for each shift within company and state guidelines * Must be in company uniform and resident ready at all times * Performs other related essential duties as assigned KNOWLEDGE, SKILLS AND ABILITIES: * Able to communicate effectively with all levels of management, team members, residents, family members, vendors, referral sources and outside contacts * Able to make independent decisions * Must be able to communicate in a warm, friendly and caring manner * Must be familiar with and adhere to guidelines related to the Fair Housing Act (FHA) and the American with Disabilities Act (ADA) * Must possess a passion to work with and around senior citizens * Knowledge of customer service principles and practices EDUCATION REQUIREMENTS: * LPN or RN license EXPERIENCE PREFERENCES: * Minimum One (1) year in the senior living environment PHYSICAL REQUIREMENTS: The following physical demands are representative of those that must be met to successfully perform the essential functions of this position: * Able to stand or walk 75% of the day * Able to concentrate with frequent interruptions * Able to work under stress and in emergency situations * Able to work under conditions that require sitting, standing, walking, reaching, pulling, pushing, and grasping * Able to talk and hear effectively in order to convey instructions and information to residents and team members * Occasionally lift/carry up to 50 pounds OCCUPATIONAL EXPOSURE / PERSONAL PROTECTIVE EQUIPMENT: * Work in all areas of the community * Subject to reactions from dust, disinfectants and cleaning chemicals and may be exposed to infectious waste, diseases and other conditions * Use personal protective equipment and supplies when needed to prevent burns, falls, and infection * Personal protective equipment includes infection control kit, rubber gloves, masks and non-slip shoes * Subject to infectious diseases, substances and odors * Follow Safety Policy & Procedures
    $41k-68k yearly est. 33d ago
  • Flight Nurse I

    Air Methods 4.7company rating

    Utilization review nurse job in New Braunfels, TX

    Join us in the enchanting town of New Braunfels, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Texas, New Braunfels offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic New Braunfels landscape, enhancing the experience of your daily work. Join us in New Braunfels , where every flight underscores our commitment to excellence and safety in medical transport. Experience the thrill of flight while making a significant impact on the well-being of those in need in this dynamic and culturally rich community. Responsibilities Job Summary Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You'll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities include the following: * Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. * Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice. * Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests. * Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed. * Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). * Participates in patient and referring institution follow-up and in planned outreach marketing and education activities * Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives. * Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities). * Other Duties as assigned. Additional Job Requirements * Regularly scheduled attendance * Indicate the percentage of time spent traveling: 5% * Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities * This position has no supervisory responsibilities. Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions. Education & Experience * Graduate of an accredited School of Nursing * Bachelor's degree in a health-related field preferred but not required * Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations * Pre-hospital experience preferred * Flight experience is not required but is a plus! Operation and Safety Requirements: * As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots. Skills Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards * Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels * Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task * Ability to work a flexible schedule, including overtime and 24/7 on-call rotation * Dependable and self-motivated while working in a frequently changing environment * Excellent communication and presentation skills, both written and verbal Computer Skills * Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations * Current RN license(s) for states of practice * EMS or MICN certification/licensure as required by state regulations * Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required) * If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation Other certification requirements: * Specialty certification (CFRN or CEN) are required within 24 months of hire * Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training * NRP certification before completion of the third-rider orientation * NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training Benefits Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind: * Health, Dental and Vision * Competitive 401(k) Retirement Plan * Flexible Spending Account Benefit Plans * Tuition Reimbursement * Full Company-Paid Life Insurance * AD&D Insurance * Short-Term and Long-Term Disability Insurance * Business Travel Accident Insurance * Voluntary Legal * Relocation Assistance * Employee Assistance and Benefit Concierge Service Programs Minimum pay USD $77,750.40/Yr. Maximum Pay USD $95,022.72/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $77.8k-95k yearly 18d ago
  • Flexible Part-Time Drip Nurse

    RHWS003

    Utilization review nurse job in Bee Cave, TX

    Benefits: Bonus based on performance Employee discounts Flexible schedule Opportunity for advancement Training & development Wellness resources This position is for flexible/part-time coverage at the Restore Hyper Wellness in Bee Cave (Hill Country Galleria). We are in search of a RN that is looking for very part-time hours to assist our full-time nurses during busy periods. Possible schedule during week could be 10am-2:30/3:00pm. They would also fill in for a weekend shift or two a month. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. We're the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as “the most fun you can have at a nursing job while still helping people in a meaningful way.” This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Benefits/Perks A competitive salary Flexible Schedules Complimentary Core Services Discounts on other Restore services Casual Dress-code Fun, wellness-focused work environment Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular Injections to deliver our menu of vitamins, minerals and antioxidants. Educate clients on the qualities and benefits of our IV Drips and Intramuscular Injection ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service. Assist staff with store services. Participate in community outreach, off-site nursing events and special projects. Report to the Restore General Manager and Studio Lead Nurse Maintain a safe and clean working environment by designing and implementing procedures, rules and regulations. Qualities You Need to Succeed as a Restore Nurse You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. You're comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Company Culture Represent the brand by embodying Restore's core values and acting in alignment with the mission and vision of Restore Hyper Wellness and the Hyper Wellness lifestyle. Create a fun and engaging store culture by ensuring every team member is involved, valued and recognized for his/her contributions. Work in partnership with the management and nursing team to promote teamwork and efficiency. Now, a Little About Us Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Take a Tour of a Restore Hyper Wellness Store Video Link: **************************** Compensation: $36.00 per hour Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness . Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 200+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restore Hyper Wellness.
    $36 hourly Auto-Apply 60d+ ago
  • MDS Nurse ( LVN)

    The Springs Healthcare & Rehabilitation

    Utilization review nurse job in Cedar Park, TX

    At The Springs Nursing and Rehabilitation our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers. MDS Coordinator (LVN) Must have experience Cedar Park, Tx Full-Time Benefits Very Competitive Pay Scrubs on Wheels Generous Paid Time Off (PTO) and Holidays Medical Dental Vision Company-paid life insurance & LTD/AD&D insurance Short-Term Disability Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!) 401k with matching Responsibilities Coordinates scheduling the RAI process with the interdisciplinary team. Completes the MDS, CAA's and care plans within regulated time frames. Assesses resident through physical assessment, interview and chart review. Interviews and discusses resident care needs with responsible party. Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or initiates significant change MDS' Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Maintains contact with the American Association of Nursing Assessment Coordinators (AANAC) to remain current with requirements. Qualifications: Must have experience as an MDS Nurse (1-2 year) Knowledge of regulatory standards and compliance requirements. LVN, LVN AANC certification a plus. RAC-CT We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $41k-68k yearly est. Auto-Apply 55d ago
  • Flexible Part-Time Drip Nurse

    Restore Hyper Wellness

    Utilization review nurse job in Bee Cave, TX

    Benefits: * Bonus based on performance * Employee discounts * Flexible schedule * Opportunity for advancement * Training & development * Wellness resources This position is for flexible/part-time coverage at the Restore Hyper Wellness in Bee Cave (Hill Country Galleria). We are in search of a RN that is looking for very part-time hours to assist our full-time nurses during busy periods. Possible schedule during week could be 10am-2:30/3:00pm. They would also fill in for a weekend shift or two a month. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. We're the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as "the most fun you can have at a nursing job while still helping people in a meaningful way." This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Benefits/Perks * A competitive salary * Flexible Schedules * Complimentary Core Services * Discounts on other Restore services * Casual Dress-code * Fun, wellness-focused work environment Medical Operations & Clinical Duties * Administer IV Drip Therapy and Intramuscular Injections to deliver our menu of vitamins, minerals and antioxidants. * Educate clients on the qualities and benefits of our IV Drips and Intramuscular Injection ingredients. * Administer Hyperbaric Oxygen Therapy sessions. * Utilize blood test offerings to help clients optimize their wellness. * Promote memberships and medical services based on client needs. * Document client visits via electronic medical records. * Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers * Communicate to the medical compliance team any issues or adverse effects clients experience. * Provide therapeutic communication along with exceptional customer service. * Assist staff with store services. * Participate in community outreach, off-site nursing events and special projects. * Report to the Restore General Manager and Studio Lead Nurse * Maintain a safe and clean working environment by designing and implementing procedures, rules and regulations. Qualities You Need to Succeed as a Restore Nurse * You're a licensed Registered Nurse (RN). * You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). * You are BLS (Basic Life Support) certified * You have at least one year of experience administering injections. * You're comfortable using electronic medical records to document client details. * You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. * Your verbal and written communication skills are on point. * You value ethics and integrity. * You embrace a team environment and also excel at working independently. * You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Company Culture * Represent the brand by embodying Restore's core values and acting in alignment with the mission and vision of Restore Hyper Wellness and the Hyper Wellness lifestyle. * Create a fun and engaging store culture by ensuring every team member is involved, valued and recognized for his/her contributions. * Work in partnership with the management and nursing team to promote teamwork and efficiency. Now, a Little About Us Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Take a Tour of a Restore Hyper Wellness Store Video Link: ****************************
    $41k-68k yearly est. 60d+ ago
  • Nurse

    Lake Travis Independent School District (Tx 3.8company rating

    Utilization review nurse job in Austin, TX

    Professional Staff/Nurse (RN) Date Available: 25-26 School Year Attachment(s): * Nurse
    $49k-55k yearly est. 57d ago
  • Nurse (Registered Nurse) - Direct Hire

    Department of Justice

    Utilization review nurse job in Bastrop, TX

    Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Overview Help Accepting applications Open & closing dates 10/01/2025 to 09/30/2026 Salary $49,739 to - $113,441 per year Pay scale & grade GL 05 - 10 Locations Many vacancies in the following locations: Aliceville, AL Maxwell AFB, AL Talladega, AL Forrest City, AR Show morefewer locations (91) Phoenix, AZ Safford, AZ Tucson, AZ Atwater, CA Herlong Sierra Ordnance Depot, CA Lompoc, CA Long Beach, CA Los Angeles, CA Mendota, CA San Diego, CA Victorville, CA Florence, CO Littleton, CO Danbury, CT Coleman, FL Marianna, FL Miami, FL Miami-Dade County, FL Tallahassee, FL Atlanta, GA Jesup, GA Honolulu, HI Chicago, IL Greenville, IL Marion, IL Pekin, IL Thomson, IL Terre Haute, IN Leavenworth, KS Ashland, KY Inez, KY Lexington, KY Manchester, KY Pine Knot, KY Oakdale, LA Pollock, LA Fort Devens, MA Cumberland, MD Milan, MI Duluth, MN Rochester, MN Sandstone, MN Waseca, MN Springfield, MO Yazoo City, MS Butner Federal Correctional Complex, NC Berlin, NH Fairton, NJ Fort Dix, NJ Kings, NY Otisville, NY Ray Brook, NY Elkton, OH El Reno, OK Oklahoma City, OK Sheridan, OR Gregg Township, PA Kelly Township, PA Lewis Run, PA Loretto, PA Minersville, PA Philadelphia, PA Waymart, PA Guaynabo, PR Bennettsville, SC Edgefield, SC Estill, SC Salters, SC Yankton, SD Memphis, TN Bastrop, TX Beaumont, TX Big Spring, TX Bryan, TX Federal Medical Center Carswell, TX Fort Worth, TX Houston, TX La Tuna, TX Seagoville, TX Texarkana, TX Three Rivers, TX Jonesville, VA Prince George, VA Seatac, WA Grand Marsh, WI Alderson, WV Beaver, WV Bruceton Mills, WV Glenville, WV Morgantown, WV Welch, WV Remote job No Telework eligible No Travel Required Occasional travel - Travel may be required for training and/or work related issues. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Service Competitive Promotion potential 10 - Grade 10 - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Job family (Series) * 0610 Nurse Supervisory status No Security clearance Other Drug test Yes Bargaining unit status No Announcement number DHA-2026-0002 Control number 847130700 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency This is a public notice under the Direct Hiring Authority open to all U.S. citizens. Please review instructions in the "
    $49.7k-113.4k yearly 60d+ ago
  • Summer Camp Supervising Nurse

    Girl Scouts of Central Texas 3.6company rating

    Utilization review nurse job in Austin, TX

    Job Title: Girl Scout Overnight Camp Supervising Nurse FLSA Status: Seasonal -Summer Camp Staff Department: Camp Services Reports To: Camp Services Director Rate: $300/week Job Purpose: The Overnight Camp Supervising Nurse is responsible for checking in daily via video call with the Health & Safety Managers of each Overnight Camp to discuss the days cases, any medication administration complications and any other issues that may have arisen. They are responsible for helping ensure that camp follows Texas State Health Services Youth Licensing regulations, American Camp Association standards, and GSCTX camp standing orders. Essential Functions Consults with Health & Safety Managers on all medication administration questions for campers and employees. Consults on treatments provided according to physician's orders. Maintains effective working relationships with Health & Safety employees. Ensures camp is providing quality and safe care for all campers by following all policies, procedures, protocols, and health and safety standards of GSCTX, American Camp Association, Texas State Health Services, and Safety Activity Checkpoints Engages in problem-solving skills, by clarifying desired information, researching, locating and delivering findings and solutions. Displays professional demeanor, and integrity at all times. Maintains strict confidentiality and professionalism when handling sensitive information. Ability to effectively interact, work, and collaborate with people of various cultural backgrounds and promote an environment of inclusivity. Adheres to the policies of the Girl Scouts of Central Texas and promotes Girl Scouting in a positive manner to the public as well as to all internal and external customers. Performs other duties or assists other projects as assigned. Required Qualifications Must be 21+ years of age by June 1, 2026. Adheres to Personnel Policies for Seasonal Camp Staff. Attention to detail and demonstrated ability to work under minimal supervision, as well as take initiative in making decisions. State license or is registered as: physician, physician's assistant, or registered nurse. Current certification in American Red Cross Standard First Aid and Personal Safety and American Red Cross or American Heart association CPR Knowledgeable in safe use and storage of medicines, pesticides, and other chemicals. Ability to adapt to various camp work situations. Proven emotional stability needed to meet emergencies with good judgment. Ability to make a commitment to the philosophy of Girl Scouting, both nationally and locally. Satisfactory results from a criminal background check are required. Camp experience preferred. Education Required education for state licensure. Preferred Qualifications Bilingual in English/Spanish. Physical Requirements This is largely a sedentary role but involves walking or standing for brief periods of time. Frequent use of computers and other technology. Normal visual acuity and field of vision, hearing and speaking abilities, finger dexterity and repetitive hand motions for manual manipulation of a keyboard or mouse. Ability to read, write, and communicate verbally and in written form to express and exchange ideas and can understand, remember, and communicate routine information. Ability to compose material such as operating procedures, communications, detailed reports, and other documentation. Ability to maintain emotional control under stress. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the key responsibilities of this position. Environmental Demands Continuous requirement for professional demeanor. Continuous work as a team member and ability to work independently with some supervision. Important Note: The information contained in this is intended to outline the general nature and scope of work being performed by an employee assigned to this position. It is not intended to be construed as a contract, or as an exhaustive list of all responsibilities, duties and capabilities required of a person employed in this capacity. Job descriptions are subject to change at the discretion of the Girl Scouts of Central Texas. Girl Scouts of Central Texas is an Equal Opportunity Employer. This employer participates in the Electronic Employment Verifications Program. Please click the E-Verify link before for more information. *************************
    $300 weekly 12d ago
  • Substitute Nurse- Founders Classical Academy of Leander

    Responsive Education Solutions 3.5company rating

    Utilization review nurse job in Leander, TX

    Provides preventative health services to facilitate the student's optimal physical, mental, emotional and social growth and development. Identifies problems and disabilities and provides such services as case finding, health education, referring and care in order to help prevent serious health problems which would later be more difficult and costly to address. Supports the education process by working to assure the health of the students. Qualifications: Education/Certification: Qualified to practice as a licensed or registered nurse in the State of Texas and holds an unrestricted license. Certified in CPR or BLS (or obtain in the first 6 months) Experience: Minimum of one (1) year experience in public health nursing, community health nursing, school health nursing or pediatric nursing Required Knowledge, Skills, and Abilities (KSAs): Knowledge of principles and practices underlying the special field of school health. Knowledge of current trends in nursing and of literature in the fields of school health. Knowledge of organization and administration of other cooperating agencies. Knowledge of state and local laws relating to health and social issues. Ability to participate cooperatively in a program of school health nursing. Ability to exercise professional judgment in making decisions. Ability to communicate appropriately and effectively with students, parents, administrators, other school personnel, etc… Demonstrate a genuine interest in the student population and its health needs Responsibilities and Duties: Promotes and protects the optimal health status of school-age children Provides health assessments Obtains a health history Screens and evaluates findings of the deficit in vision, hearing, scoliosis, growth, etc. Observes the child for development and health patterns in making nursing assessments. Identifies abnormal health findings. Develops and implements a student health plan Interprets the health status of students to parents and school personnel. Initiates referral to parents, school personnel or community health resources for intervention, remediation and follow through. Utilizes existing health resources to provide appropriate care of students. Provides ongoing health counseling with students, parents, school personnel or health agencies. Maintains, evaluates and interprets cumulative health data to accommodate individual needs of students Plans and implements school health management protocols Participates in home visits to assess the family needs as related to the child's health. Develops procedures and provides for emergency nursing management for injuries/illnesses Promotes and assists in the control of communicable diseases. Provides health education and anticipatory guidance Provides direct health education, and health counseling to assist students and families in making decisions on health and lifestyles that affect health. Participates in health education directly and indirectly for the improvement of health by teaching persons to become more assertive health consumers and to assume greater responsibility for their own health. Counsels with students concerning problems such as pregnancy, sexually transmitted diseases and substance abuse in order to facilitate responsible decision-making practices. Serves as a resource person to the school staff members in health instruction. Coordinates school and community health activities and serves as a liaison health professional between the home, school and community. Acts as a resource person in promoting health careers. Engages in research and evaluation of school health services to act as a change agent for school health programs and school nursing practices. Provides consultation in the formation of health policies, goals and objectives for the school district. Where applicable, participates in the IEP plan development. Travel as required. Equipment Used: All equipment required to perform jobs duties and task previously described Physical / Environmental Factors: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsive Education Solutions considers applicants for all positions without regards to race, color, national origin, age, religion, sex, marital status, veteran or military status, disability, or any other legally protected status. ResponsiveEd is an Equal Opportunity Employer. Salary: $100.00 per day
    $100 daily 60d+ ago
  • Np - 15546044

    Marble Falls 3.7company rating

    Utilization review nurse job in Marble Falls, TX

    The Nurse Practitioner (NP) Primary Care is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated prescriptive authority, is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers typically provide care to patients in an internal medicine, family medicine, geriatric or pediatric clinic. ESSENTIAL FUNCTIONS OF THE ROLE • Assesses the physical and mental condition of patients by performing and obtaining comprehensive or problemfocused physical examinations and medical histories. • Orders, collects, interprets, and evaluates laboratory and other diagnostic tests to assess patient problems and health care needs. • Prescribes, recommends and/or employs medical drug therapies or other forms of related therapeutic treatments and procedures or performs indicated procedures in accordance with approved protocols/policies with attention to efficacy, safety, and cost. • Recommends interventions to modify behavior associated with health risks. • Formulates and implements comprehensive outcomes-based patient treatment plans based on patient assessments, evidence-based medicine, standards of care, professional practice guidelines and in collaboration with physicians and other interdisciplinary team members when appropriate. Evaluates patient's response to health care provided and the effectiveness of care. • Counsels patients and families regarding medical processes, management of the health illness/condition, medication, nutrition, and health promotion. Counsels patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over the counter medications and herbal remedies. • Maintains appropriate records detailing the patient's treatment plans and outcomes. Initiates timely consultation and referral when the problem exceeds scope of practice and/or expertise. • Provide consultation level services for conditions /problems related to the Provider's specialty and training. • Perform invasive procedures specific to scope of practice and knowledge of the provider as delegated by supervising Physician. • May provide care to a panel of patients in a team based model focusing on acute and chronic illness management, as well as population health. KEY SUCCESS FACTORS • Knowledge of information and techniques needed to diagnose and treat human injuries, diseases, and deformities to include symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. • Knowledge of practices, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. • Verbal and written communication skills. • Interpersonal skills. • Critical thinking and complex problem-solving skills. • Skill in the use of computers and related software applications. • Ability to develop and implement comprehensive outcomes-based patient treatment plans. • Ability to counsel patients concerning medical and psychological/psychiatric conditions, treatment plans, and behavior modification. • Ability to interpret and evaluate laboratory and other diagnostic tests. • Texas RN licensure or RN licensure with compact privilege from a state that is party to the Nurse Licensure Compact for RNs and LVNs & Texas APRN. • Current license to practice as a Nurse Practitioner in the state of Texas. • Basic Life Support within 30 days of hire or transfer. • National Nurse Practitioner certification in area of specialty. Position Highlights Location: 409 W Adams, Temple, TX 76501 Schedule: Full-Time (1.0 FTE), 8-hour shifts Patient Age Range: All ages Patient Volume: ~18 patients per day (8-hour shift) or ~23 patients (10-hour shift) Opportunity Highlights: Reopening with a Fresh Start - Opportunity to build a clinic from the ground up Compensation based on experience BENEFITS Our competitive benefits package includes the following • Immediate eligibility for health and welfare benefits • 401(k) savings plan with dollar-for-dollar match up to 5% • Tuition Reimbursement • PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS • EDUCATION - Grad of an Accredited Program • EXPERIENCE - Less than 1 Year of Experience • CERTIFICATION/LICENSE/REGISTRATION - Nurse Practitioner (NP) Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.
    $50k-64k yearly est. 60d+ ago
  • Labor and Delivery - LD RN - Travel Nurse

    Travel Nurse Across America 4.5company rating

    Utilization review nurse job in Georgetown, TX

    We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Georgetown, TX. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of a baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery. As an L&D Travel Nurse, you should be prepared to perform the following tasks: Stay with and monitor patient throughout labor. Monitor contractions and help patients with breathing techniques. Check cervix periodically to monitor progression/lack of dilation. Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process. Aid physician with drapes, gloves, gowns, delivery instruments, etc. Immediate care of newborn. L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, NRP, EFM, 3 Years * Additional certifications may be required before beginning an assignment.
    $62k-119k yearly est. 1d ago
  • Clinical Review Nurse - Concurrent Review

    Actalent

    Utilization review nurse job in Austin, TX

    Schedule: Tuesday-Friday, 10:00 AM - 9:00 PM CST; overtime as needed; weekends and holidays on a rotation basis Business Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring appropriate care, medical necessity, and discharge planning in alignment with clinical policies and guidelines. This role is fully remote but requires a Compact State Nursing License and the ability to work Central Standard Time hours. Key Responsibilities * Conduct concurrent reviews to determine member health status, appropriate level of care, and medical necessity * Review acuity, resource consumption, length of stay, and discharge planning for quality and continuity of care * Collaborate with Medical Affairs and Medical Directors on member care decisions * Document review findings, discharge plans, and actions in health management systems per utilization management policies * Work with providers to approve determinations or provide recommendations based on review findings * Educate providers on utilization processes to ensure high-quality care * Review transfer and discharge plans to ensure timely transitions between care levels * Collaborate with care management teams for member referrals Requirements * Graduate from an accredited School of Nursing or BSN with 2-4 years of related experience * Required Licensure: LPN/LVN or RN - Compact State License * Strong time-management skills and ability to work independently * Experience with electronic medical records (Epic, Trucare, Trucare Cloud preferred) * Knowledge of Medicaid regulations and utilization management processes preferred * Proficiency in Microsoft Word, Excel, and EHR systems Must Haves: * Compact Nursing License * Strong time-management and self-motivation * Experience with EMR systems * Medicaid or insurance-related knowledge * Prior utilization management experience Disqualifiers: * Inability to work weekends or holidays Job Type & Location This is a Contract position based out of Austin, TX. Pay and Benefits The pay range for this position is $33.00 - $40.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 16, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
    $33-40 hourly 9d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Austin, TX?

The average utilization review nurse in Austin, TX earns between $50,000 and $90,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Austin, TX

$67,000

What are the biggest employers of Utilization Review Nurses in Austin, TX?

The biggest employers of Utilization Review Nurses in Austin, TX are:
  1. Actalent
  2. Centerwell
  3. Central Health
  4. Evolent Health
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