Talent.com

Utilization review nurse Jobs in Frisco, TX

Last updated: 1 day ago
  • Promoted
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesTexas, The Colony
We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago
Itemized Bill Review Facility Reviewer

Itemized Bill Review Facility Reviewer

ZelisRemote, TX, US
Remote
Full-time
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines.They ...Show moreLast updated: 30+ days ago
  • Promoted
MANAGER UTILIZATION MANAGEMENT

MANAGER UTILIZATION MANAGEMENT

Texas Children's HospitalTX, United States
Full-time
We are searching for a Manager Utilization Management- To develop all of the processes and procedures for Utilization Management intake, concurrent review and processing of denial and appeals.Asses...Show moreLast updated: 3 days ago
  • Promoted
Care Review Clinician, Inpatient Review (RN)

Care Review Clinician, Inpatient Review (RN)

Molina HealthcareDallas County, TX, United States
$26.41–$61.79 hourly
Full-time
Job Description : JOB DESCRIPTION Job SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrate...Show moreLast updated: 2 days ago
  • Promoted
NURSE

NURSE

Restore Hyper WellnessTX, United States
$26.00–$32.00 hourly
Full-time
Fun, wellness-focused work environment.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® w...Show moreLast updated: 1 day ago
  • Promoted
Travel Nurse RN - Case Manager, Utilization Review - $1,443 per week

Travel Nurse RN - Case Manager, Utilization Review - $1,443 per week

Medical SolutionsFondren, TX, US
$1,443.00 weekly
Full-time
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Webster, Texas. Job Description & Requirements Specialty : Utilization Review Discipline : R...Show moreLast updated: 1 day ago
Nurse Medical Management II - Utilization Management

Nurse Medical Management II - Utilization Management

Elevance HealthTexas
$72,080.00–$129,744.00 yearly
Full-time
This is a virtual position, but candidates must reside within 50 miles of an Elevance Health Pulse Point.Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high qua...Show moreLast updated: 30+ days ago
Communications Review Specialist

Communications Review Specialist

Careington International CorporationFrisco, TX, US
Full-time
The Communications Review Specialist works under the direction of the Communications Review Manager and the Director of Corporate Communications. The dynamic Corporate Communications team also inclu...Show moreLast updated: 30+ days ago
  • Promoted
Credit Review - Executive Director

Credit Review - Executive Director

JPMorgan Chase Bank, N.A.Plano, TX, United States
Full-time
This team assists the firm in maintaining a focus on safety and soundness by bringing a systematic and disciplined approach to evaluating credit portfolio quality and by promoting strong credit ris...Show moreLast updated: 1 day ago
  • Promoted
NURSE

NURSE

Thrive Skilled Pediatric Care LLCTX, United States
Full-time
Weekly pay and up to 80 hours of PTO per year!.Thrive Skilled Pediatric Care, one of the leading providers of skilled pediatric home care, is seeking a RN / LVN for a case in.M - F full time days ava...Show moreLast updated: 1 day ago
Review Manager, Retail Credit Risk Review

Review Manager, Retail Credit Risk Review

USAAPlano, Texas, US
$109,130.00–$208,580.00 yearly
Full-time
The Credit Risk Review (CRR) group is responsible for independently evaluating credit risks of exposures from both lending and non-lending activities to opine upon the effectiveness of first and se...Show moreLast updated: 30+ days ago
Wholesale Credit Review - Vice President

Wholesale Credit Review - Vice President

JPMorgan Chase & Co.Plano, TX, United States
Full-time
The Credit Review team within the JPMC Internal Audit Department is responsible for reviewing the credit process in commercial lending portfolios at the firm. The team focuses on portfolios within t...Show moreLast updated: 30+ days ago
Utilization Behavioral Health Professional

Utilization Behavioral Health Professional

HumanaWork at Home, Texas
Remote
Full-time
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...Show moreLast updated: 30+ days ago
Review Analyst

Review Analyst

loanDepotPlano, Texas
Responsible for reviewing low to moderate risk appraisal reports for various loan programs.Ensures the performance of all duties in accordance with the company’s policies and procedures, all.Perfor...Show moreLast updated: 30+ days ago
Claims Clinical Specialist – Medical Review Team

Claims Clinical Specialist – Medical Review Team

Genworth FinancialTexas
$124,600.00 yearly
Remote
Full-time
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago
Board Certified Orthopedic Surgeon-Shoulder-Physican Advisor- IME / Record Review

Board Certified Orthopedic Surgeon-Shoulder-Physican Advisor- IME / Record Review

Dane StreetLittle Elm, Texas, United States
Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised...Show moreLast updated: 30+ days ago
  • Promoted
Travel CT Technologist

Travel CT Technologist

Nurse FirstPlano, TX, US
Full-time
Nurse First is seeking a travel CT Technologist for a travel job in Plano, Texas.Job Description & Requirements.Pay package is based on 10 hour shifts and 40 hours per week (subject to confirma...Show moreLast updated: 14 days ago
Loan Review Senior Consultant

Loan Review Senior Consultant

CrowePlano TX US
Full-time
Crowe is seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of clients in the financial services industry. Provide loan review services and other consul...Show moreLast updated: 30+ days ago
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesTexas, The Colony
1 day ago
Job description

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

Job Type : Full-time

Work Location : Remote with possible periodic travel to our office in Itasca, IL.

Overview

We are seeking a detail-oriented and experienced Quality Review Supervisor to oversee a QV team in our Quality Review Department. The ideal candidate will have strong communication skills, an eye for detail, and a deep understanding of property inspection services. This is a work from home position that requires a Windows computer and high-speed internet.

Responsibilities

The Quality Review Supervisor’s primary responsibility is to manage the daily activities of the QV team, providing guidance and support. There are also performance management responsibilities to ensure team members are meeting monthly goals. This includes (but not limited to) managing schedules, hourly production, rejection percentages, and quality standards.

Using Millennium’s proprietary software, the Supervisor manages the QV process which includes reviewing a full inspection report that is comprised of a sketch of the home’s footprint, photos of the home which identifies construction materials, hazards, and client specific questions. Knowledge of sketching and replacement cost programs is a plus.

Compensation

  • We offer comprehensive training and a competitive starting salary and benefit package.

Schedule :  Monday to Friday

Benefits :
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance
  • HOW TO APPLY :

    Interested candidates should apply through the job portal.

    We look forward to meeting you and expanding our team!

    Position Requirements

    Qualifications

  • Bachelor’s Degree or equivalent industry experience
  • Previous supervisory experience a plus
  • Previous experience in the insurance inspections, appraisals, or claims adjusting
  • Well organized and detail oriented
  • Possess excellent oral and written communication skills
  • Adaptable to change and open to new ideas
  • Ability to work independently
  • Intermediate or above computer skills
  • Experience using Microsoft Office Suite : Outlook, Word and Excel
  • Additional information :

    Employment type : Full-time