Bracane Company, Inc.

Utilization Review Nurse(Austin/Richardson TX) (Remote)

Bracane Company, Inc.  •  $80k/yr  •  Plano, TX (Remote)  •  5 months ago
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Job Description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.


JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas (Austin area – Travis/Williamson Counties or Richardson area – Dallas/Collin Counties).

POSITION: 6-month assignment

SALARY: $38 - $40 hourly

HOURS PER WEEK: 40

HOURS PER DAY: 8

Bracane Company, Inc.

About Bracane Company, Inc.

1. Clinical Trial Operations & Site Support

We provide end-to-end support for clinical trials, including site monitoring, participant recruitment, protocol implementation, and global site feasibility through our BAIUS™ platform.

Keywords: #ClinicalTrials #SiteManagement #DiversityInTrials #BAIUS

2. Regulatory Affairs & Audit Readiness

From FDA submissions to audit support, our team helps sponsors, CROs, and public health programs prepare for inspections, comply with global regulations, and navigate the full product development lifecycle.

Keywords: #FDACompliance #RegulatoryConsulting #AuditPreparation

3. Health Equity & Community-Based Research

We specialize in community-engaged research, health literacy, and culturally competent program delivery—helping organizations bridge health disparities and improve public health outcomes.

Keywords: #HealthEquity #CommunityHealth #HealthLiteracy #PublicHealth

4. Survey Design, Data Collection & Evaluation

Bracane conducts multilingual surveys, interviews, and assessments across sectors. We deliver actionable insights for public agencies, nonprofits, and corporate clients.

Keywords: #SurveyResearch #QualitativeAnalysis #DataCollection #ProgramEvaluation

5. Clinical & Healthcare Workforce Training

Our "Power Hour" and custom learning programs provide training in clinical skills, GCP compliance, leadership, and quality systems for staff, contractors, and organizations.

Keywords: #WorkforceDevelopment #ClinicalTraining #GCP #ProfessionalDevelopment

6. Global Health & International Engagement

We support ministries of health, NGOs, and cross-border health initiatives with capacity-building, training, and operational support in Africa, Latin America, and the Caribbean.

Keywords: #GlobalHealth #HealthSystems

8. Government Contracting & Program Implementation

We serve as a strategic subcontractor and prime vendor for federal, state, and local government projects in healthcare, research, and training.

Industry
Consulting & Advisory
Company Size
11-50 employees
Headquarters
Plano, Texas
Year Founded
2002
Website
bracaneco.com
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