Utilization Review RN in Austin - Impact Care & Compliance

Bracane Company; Houston (TX); On-site; USD 48,000 - 55,000; Full time

Benefits offered by this job

401(k) Retirement Savings

Employee Assistance Program (EAP)

Financial Management Resources

Paid Time Off (PTO)

Paid Holidays

Job summary

Bracane Company in Austin, TX is seeking an Utilization Review RN to ensure patients receive the right care at the right time. You will conduct reviews, collaborate with physicians and care teams, and apply InterQual or Milliman criteria to support decisions.

The role requires an active Texas RN license, 2–3 years of clinical nursing experience, and experience in utilization review or managed care. You will work in a high-volume environment with strong analytical and communication skills.

Qualifications

• Active and unrestricted RN license in Texas.
• 2–3 years of clinical nursing experience.
• Prior utilization review or managed care experience preferred.

Responsibilities

• Conduct utilization review assessments for medical necessity and appropriateness of care.
• Perform concurrent, prospective, and retrospective reviews of patient cases.
• Collaborate with physicians and care teams to coordinate patient care plans.
• Apply InterQual or Milliman criteria to support review decisions.
• Document and communicate review findings accurately and timely.

Skills

RN license TEXAS

Analytical skills

Communication

Independent work

Education

Registered Nurse degree

Tools

InterQual

Milliman

Job description

Bracane Company in Austin, TX is seeking an Utilization Review RN to ensure patients receive the right care at the right time. You will conduct reviews, collaborate with physicians and care teams, and apply InterQual or Milliman criteria to support decisions.

The role requires an active Texas RN license, 2–3 years of clinical nursing experience, and experience in utilization review or managed care. You will work in a high-volume environment with strong analytical and communication skills.