Utilization review nurse jobs in Houston, TX

Provide support for CCR nurses, pharmacists, and non clinical staff in multiple sites in a manner.. Clinical practice experience in the last 2 years Hands on experience in utilization review Data analysis..

The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials..

The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials..

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by.. and leading a team of experienced medical bill review auditors, nurse auditors, med legal nurse..

The Clinical Appeals Nurse will review each case identified referred for appeal based on Milliman Care.. Two to four years of Utilization Review Case Management experience. Two three years' experience in the..

A leading healthcare company is seeking a Care Review Clinician for a 6. month contract role.Summary.. Works with the Utilization Management team primarily responsible for inpatient medical necessity..

Job Title. Case Manager. Registered Nurse. Day Shift Job Description. We& 39 re seeking a dedicated Case.. Implement and manage the case management program, including Care Facilitation, Utilization Management..

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service.. Utilization Management Conducts medical necessity review for appropriate utilization of services from..

The Credit Balance Review Specialist is primarily responsible for monitoring and resolving credit.. The Credit Balance Review Specialist will review the patient's account to include. charges, accuracy of..

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service.. Utilization Management Conducts medical necessity review for appropriate utilization of services from..

Job Description The Psychiatric Nurse Practitioner is responsible for proving psychiatric assessments.. Participates in Performance Improvement, Utilization Review, Fire & Disaster Committees, and others as..

Office. Attorney Review HR Coordinator Title. Attorney Review HR Coordinator Location. Houston Job.. Support the non partner attorney mid year and annual performance review processes by completing request..

Carbon capture, utilization, and storage (CCUS) are critical to meeting the climate goals of both.. Energy Systems is looking for a Senior Consultant in carbon capture and utilization to join the team..

Clinical Operations Meeting, Utilization Review, and Performance Improvement Risk Management Safety (PI.. Registered Nurse graduate from an accredited school, BSN preferred. Minimum 3 years experience as an RN..

Participates in developing parameters, establishing best practices and teaches field nurses the agency.. Review. Compose Plans of Care. 3. Review documentation for proper visit utilization. 4. Maintain..

Physician practice patterns. documentation and over. and under utilization of resources. The Physician.. The Physician Advisor will conduct clinical reviews on cases referred by case management and or other..

And referrals for psychosocial needs Participates in Quality Assurance and Utilization Review.. which is readily accessible for review and meets all requirements. assists in data collection for..

600 per week About The Position Job Title. Case Manager. Registered Nurse. Day Shift Job Description.. Implement and manage the case management program, including Care Facilitation, Utilization Management..

MSSI is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in.. Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is..