Utilization review nurse jobs in Sugar Land, TX
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..
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..
Psychiatric Nurse Practitioner
Job Description The Psychiatric Nurse Practitioner is responsible for proving psychiatric assessments.. Participates in Performance Improvement, Utilization Review, Fire & Disaster Committees, and others as..
Clinical Pharmacy Specialist- Hematology-Anticoagulation Stewardship
Serves as a resource to pharmacy staff, physicians, and nurses. Assists with clinical research designed.. Develops and implements utilization reviews targeted for expensive, potentially harmful or improperly..
Inpatient Therapist
Ongoing and consistent collaboration with the interdisciplinary team including physicians, utilization review and nursing staff members. Demonstrates active communication with team members..
SBA Eligibility Review Officer III
Description Summary The SBA Eligibility Review Officer III is responsible for reviewing SBA & USDA.. Reviews use of proceeds, orders SBA Number, prepares SBA Loan Authorization and other SBA forms and is..
Revenue Cycle Appeals Registered Nurse – Remote
Performs retrospective (post. discharge. post service) medical necessity reviews to determine appellate.. Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive..
Psychologist
The Psychologist consults with the Psychiatrist, Therapists, and utilization review members.. The Psychologist reviews evaluation findings with parents if necessary. The psychologist has the..
Case Manager II PRN / Registry
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and..
Nurse Practitioner Director of Clinical Operations ISNP
Through analysis of utilization metrics, develops targeted cost containment programs and specific action.. Develops clinical protocols for nurse practitioners to follow to ensure practice consistency for the..
Regional Vice President of Construction (Multifamily)
The role entails spearheading site utilization logistical planning, project planning, and scheduling.. Review and approve the Monthly schedule update from the Scheduling Consultant. Provide guidance on..
Claims Clinical Specialist - Medical Review Team
Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..
Case Manager RN PRN
At Houston Methodist the Case Manager PRN (CM) position is a licensed registered nurse (RN) who.. SERVICE ESSENTIAL FUNCTIONS Performs review for medical necessity of admission continued stay and..
Case Manager
The role integrates and coordinates resource utilization management, care facilitation and discharge.. L icenses Certifications. Current and valid license to practice as a Registered Nurse in the state of..
Medical Director Remote Texas
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..
Project Manager Civil
Prepare reports and proposals. Write and review draft reports, including feasibility studies, stormwater.. Collaborate closely with office leadership to formulate growth plans and ensure staff utilization..
Senior Account Manager - Employee Benefits
Lead client meetings regarding renewal and utilization results. Regular client contact and in person.. Participate in peer review as both a participant and a reviewer of standards client deliverables..
Equipment Manager - Alleyton
Work with Line of Business Managers to ensure peak equipment utilization. Prepare annual budgets and.. Review and prepare evaluations of tire cost, major repair spend, and asset disposal recommendations..
Personal Health Nurse
Physicians, client managers, customer service staff, CCCS executive management, other CCCS Medical Management nurses, hospital utilization review nurses, etc. Excellent written communication..
Day Shift Fleet Coordinator
Typically involves complex professional related supply chain principles. Review complex operational or.. Utilization of systems and databases used for transportation and logistics management. Characteristics..