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AUSTIN TX Utilization Review RN Austin, TX

AUSTIN TX Utilization Review RN

Full Time • Austin, TX
About the Role:
Bracane Company is seeking a dedicated and detail-oriented Utilization Review RN to join our team in Austin, TX. This is an exciting opportunity for a clinical professional to make a meaningful impact by ensuring patients receive the right care at the right time. If you're passionate about healthcare quality and patient advocacy, we want to hear from you!


Responsibilities:
  • Conduct utilization review assessments to evaluate medical necessity and appropriateness of care
  • Perform concurrent, prospective, and retrospective reviews of patient cases
  • Collaborate with physicians, case managers, and healthcare teams to coordinate patient care plans
  • Apply evidence-based clinical criteria (e.g., InterQual, Milliman) to support review decisions
  • Document and communicate review findings accurately and in a timely manner
  • Identify opportunities for care improvement and ensure compliance with payer guidelines
  • Support denial management and appeals processes as needed
Requirements:
  • Active and unrestricted RN license in the state of Texas
  • Minimum 2-3 years of clinical nursing experience required
  • Prior utilization review, case management, or managed care experience strongly preferred
  • Familiarity with InterQual or Milliman clinical criteria
  • Strong knowledge of medical terminology, coding, and payer guidelines
  • Excellent analytical, communication, and critical thinking skills
  • Ability to work independently and manage a high-volume caseload efficiently
About Us:
Bracane Company is a trusted name in healthcare staffing and management solutions, committed to connecting top clinical talent with organizations that need them most. Our clients rely on us for our expertise, integrity, and dedication to quality care outcomes. At Bracane Company, employees thrive in a supportive environment that values their skills and invests in their professional growth.
Compensation: $35.00 - $40.00 per hour

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.





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Core Benefits & Total Well-Being

Investing in your financial, personal, and professional growth.

At Bracane Company, we believe that taking care of our team means supporting you both inside and outside of work. We are committed to providing robust resources that foster financial security, mental wellness, and a healthy work-life balance.

Here is what we offer to support your journey with us:

  • 401(k) Retirement Savings: Plan for your future with our retirement savings program, designed to help you build long-term financial security.

  • Employee Assistance Program (EAP): Access confidential, professional support for your mental, emotional, and personal well-being whenever you or your family need it.

  • Financial Management Resources: Take advantage of tools and guidance to help you navigate your personal financial goals, budgeting, and investment planning.

  • Paid Time Off (PTO): Reclaim your time, rest, and recharge with a flexible accrued paid time off policy.

  • Paid Holidays: Enjoy dedicated time off to celebrate and spend with family and friends throughout the year.


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