Utilization review nurse jobs in Houston, TX
Utilization Review Nurse
A company is looking for a Utilization Review Nurse Key Responsibilities. Review medical charts and issue pre authorizations for medical procedures based on patient needs, physician..
Registered Nurse Utilization Review OPIS
Visit nchjobs.org to learn more.JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients.. Collaborate with nurses, physicians, case managers and social workers when potential payer concerns will..
Medical Oncology Medical Director - Utilization Review
Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon.. Job Summary. Perform physician level case review, following initial nurse review, of Medical Oncology..
Travel Nurse RN - Case Manager, Utilization Review - $2,603 per week
Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 13 weeks 40 hours..
Utilization Management Nurse Consultant
Utilization Management Nurse ConsultantUtilizes clinical experience and skills in a collaborative.. years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state..
Utilization Management Clinical Registered Nurse (RN)
Job Summary We are searching for a Utilization Management Clinical RN. someone who works well in a fast.. This role performs telephonic and or concurrent review of inpatient hospitalizations and extended..
Medical Bill Review Auditor
MUST HAVE Knowledge of CPT, ICD 9 10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review auditing. Prepares and compiles medical provider..
Review Project Manager - Antitrust
A fundamental aspect of this role is the ability to drive efficiencies for the success of our clients and lead managed review project team. projects successfully to meet client schedules..
Document Review Attorney - Remote
Experienced Document Review Attorney. Remote Great opportunity for. l icensed attorneys with document.. Project based E Discovery Document Review. Licensed Attorney rate is. 26 per hour. Flexible schedule..
Pricing & Review Specialist
We take care of our people so that you can do your best work. PRICING AND REVIEW SPECIALIST We are.. SUMMARY This position is repsponsible for analyzing, reviewing, and making final decisions for benefit..
Image Review Clerk – Remote in Texas
As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business.. During a Typical Day, You'll Review images of license plates from toll transactions Enter data of..
Clinical Coverage Review Medical Director - Remote
Licensure in Texas, Indiana, Nebraska, Arizona, Washington, or Kansas Clinical practice experience in the last 2 years Hands on experience in utilization and coverage review in a health plan..
Medical Review Manager (Full-time, Remote)
Large company perks.Small company feel! We are now seeking a Medical Review Manager to join our team.. Registered Nurse Licensure Certified Professional Coder (CPC) Certification or the ability to obtain..
Utilization Management Clinician I - RN or LPN
Create an equitable work environment. About the Role The Level I Utilization Management Clinician.. Essential functions and Roles and Responsibilities. Conduct review of hospital notification or prior..
Intake Care Senior Representative
Member benefit grid and provider status Review customer coverage and benefits Review authorization.. auto approve, refer to Utilization Management Nurse) Maintain benchmark standards for TAT (Turn Around..
Clinical Pre-Service Nurse Auditor (LVN)
Premier Medical Resources is hiring a full time Clinical Pre Service Nurse Auditor (LVN). The Clinical.. One (1) year utilization review, authorization, or case management experience BENEFITS. 3 Medical Plans..
Utilization Management Coordinator-PRN
The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials..
Utilization Management Coordinator-PRN
Responsibilities Utilization Management Coordinator. PRN Opportunity West Oaks Hospital has provided.. Completes admission and continued stay reviews with managed care companies and obtains certification..