Utilization Review Nurse jobs in Houston, TX

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Jordan Health Services - Houston, TX
Must be a licensed vocational nurse (LVN). Collaborates with Agency management to ensure implementation of corrective action plan for deficiencies identified...
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LVN Pre/Authoriz Nurse Auditor

Harris Health System - 194 reviews - Houston, TX 77054 (Medical area)
1 year utilization review, authorization or case management experience (preferred). Johnson and Quentin Mease achieved Pathway to Excellence designation by the...

Financial Analyst - Investigational Cancer Therapeutics

MD Anderson Cancer Center - 468 reviews - Houston, TX
$59,600 - $89,400 a year
Review all effort reports for alignment with departmental records. Meet with assigned faculty to review financial accounts status and updates regarding...

Case Manager (Neuro)

Memorial Hermann - 1,602 reviews - Bellaire, TX 77401
Completes Utilization Management and Quality Screening for assigned patients. The role integrates and coordinates resource utilization management, care...

Precert Nurse (LPN) - Nashville or Houston

Cigna - 2,773 reviews - Houston, TX
Current licensure as a Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN. Review requests from members and contacts member as needed for additional...

Administrative Assistant - Medical

Harris County - 124 reviews - Houston, TX
$32,614 - $35,298 a year
Reviews and verifies information and submits to Medicaid billing provider. Compiles monthly reports related to program utilization and other statistical needs...

RN Director Case Management

Clinical Management Consultants - 3 reviews - League City, TX
$115,685 - $140,549 a year
Reporting to the CFO, the RN Director Utilization Review will be well supported by a passionate team of Case Managers, Utilization Management Committee and Case...

Case Manager II

Houston Methodist - 909 reviews - Houston, TX
6.Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....

Clinic Staff Registered Nurse

Centre for Neuro Skills - 42 reviews - Webster, TX
Objectively observing patient facial expression, body language, in conjunction with utilization of a pain scale in properly assessing any patient for...

Case Manager (RN)

Houston Methodist - 909 reviews - Houston, TX
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization and continued stay;...
LVN - Utilization Review
Kelsey-Seybold Clinic - 244 reviews - Pearland, TX 77584
LVN - Utilization Review. Pearland Administration Review. Licensed Vocational Nurse, CEU requirement. The vocational nurse provides direct nursing care to an...
Utilization Review Specialist
PRINCIPAL ACCOUNTABILITIES Uses appropriate criteria sets for admission reviews, continuing stay reviews, outlier reviews and clinical appropriateness...
Utilization Review Nurse
IntegraNet Health - Houston, TX
The Utilization Review Nurse works independently to plan, implement, and/or coordinate quality patient care and cost effective utilization of healthcare...
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