Utilization Review Nurse jobs in Houston, TX

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Care Manager - RN

WellCare - 838 reviews - Houston, TX 77002 (Downtown area)
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...

Field Care Manager - RN

WellCare - 838 reviews - Houston, TX 77002 (Downtown area)
Licensed Registered Nurse (RN) is required. Promotes effective utilization and monitors health care resources....

Clinical Appeals Reviewer Senior

WellCare - 838 reviews - Houston, TX 77002 (Downtown area)
Handles escalated issues from Concurrent Review Nurses. Required - 4 years of experience in a clinical setting with general nursing exposure in UM to include...

Prior Authorization Nurse - LVN LPN

WellCare - 838 reviews - Houston, TX 77002 (Downtown area)
Preferred 1 year of experience in Performing utilization reviews. Determines appropriate utilization management of services requested....

Field Service Coordinator - RN

WellCare - 838 reviews - Houston, TX 77002 (Downtown area)
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...

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