• Austin City Skyline
  • Utilization Review Nurse Case Manager

    Posted: 11/12/2020

    Come work as a Nurse Case Manager at a large nonprofit organization in northwest Austin that offers great benefits with a wide range of opportunities to advance and learn alongside a team of talented professionals.

    About the Texas Association of School Boards

    The Texas Association of School Boards (TASB) has been promoting educational excellence for all Texas schoolchildren since 1949. We provide a wide variety of services and programs to help public school board members serve their communities more effectively and to help school districts function more efficiently.

    Since 2009, TASB has regularly made the top 10 list in the large-employer category of the Austin Business Journal’s Best Places to Work in Central Texas. Our inclusive, friendly work environment encourages employees to innovate, collaborate, and grow. We employ a diverse mix of professional, technical, risk management, and administrative staff.

    About the Position

    We are looking for a Nurse Case Manager to work in a fast-paced Utilization Review department to process Workers’ Compensation preauthorization requests, complete referrals to physician advisors and notify providers of preauthorization determinations. This is a primarily a virtual position including training.

    Responsibilities

    • Evaluates health care services and requested treatment utilizing accepted standards of practice, treatment guidelines, and written criteria; provide objective clinical decisions based on same.
    • Coordinates referrals to physician advisors.
    • Meets required time frames for pre-authorization decisions through oral and written responses and maintains compliance with all rules and regulations pertaining to utilization review.
    • Participates in claims review, audit and negotiation of fees for workers’ compensation cases.
    • Is a preauthorization team member with seven nurses and five intake coordinators.
    • Works independently from home with occasional trips to the office.
    • Training and job orientation will be completed virtually.
    • Reports to the Utilization Review (UR) Manager and works closely with the UR Assistant Manager.
     Requirements 
    • Current registered nurse license to practice nursing in the State of Texas.
    • Minimal two years of clinical nursing experience, preference is five or more years.
    • Must be self-motivated.
     Why Apply?
    • Excellent benefits, including employer-paid medical, dental, and life insurance as well as a retirement plan and employee assistance program. We have generous paid leave and holiday time.
    • Convenient staff-supportive amenities like an on-site child care center, mini market, fitness room, and more.
    • Professional growth and advancement opportunities in a wide range of areas, including governmental relations, risk management, cooperative purchasing, investment and employee benefits, human resource management, leadership development, and more.
    • A diverse, inclusive work environment that celebrates the unique perspectives and talents of all employees.
    • A friendly company culture that encourages a healthy work-life balance. 
    Learn More and Apply

    Learn more about TASB and its benefits by visiting
    tasb.org or by following us on Facebook, Twitter, or LinkedIn. All job applications must be submitted online through our ADP application system. Only those candidates that closely meet the job’s requirements will be selected for interview and contacted.
     
    TASB is an equal opportunity employer and will not discriminate on the basis of an individual's race, color, disability, religion, sex, national origin, or age.  TASB does not sponsor H-1B visas. This position is subject to a background check. Any job offer is contingent upon receipt of results of a satisfactory background check.

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