Medical Review Nurse jobs in Houston, TX

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NURSE - RN
Medical Center Region. Review all policies and procedures on a yearly basis. Gramercy/ Main Clinic:....
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Medical Compliance Auditor (RN) - Health Plan - Bellaire, TX
In this position, you’ll review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed...
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Case Manager I
Documents relevant discharge planning information in the medical record according to Department standards. Current and valid license to practice as a Registered...
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Medical Surgical Registered Nurse HDSH

Nobilis Health - Hermann Drive Surgical Hospital - Houston, TX
Reviews treatments and responses for past 24 hours. Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized...
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Utilization Review Nurse

UT Health Science Center at Houston - 78 reviews - Houston, TX
Conducts various types of case reviews for quality and appropriate medical management, cost containment, peer review and rehabilitation....

Health Services Nursing Manager

ResCare - 2,063 reviews - Houston, TX 77040
Medical, Dental, Vision Benefits. Complete regulatory record review for Regional Management Team as needed; Monitor pharmacy, medical, and Medicaid expenses,...

Contract Nurse Hospital Bill/Charge Auditor

SCIOinspire - Houston, TX
Two years medical claim review/hospital charge audit experience. SCIO Health Analytics is look for Contract Nurse Hospital Bill/Charge Auditors in Ohio and...

NURSE - RN

houston eye associates - 15 reviews - Houston, TX
Medical Center Region. Review all policies and procedures on a yearly basis. Gramercy/ Main Clinic:....

Medical Directorship

Texas Regional Health - Sugar Land, TX
Duties include 20% chart review, phone call accessible for one nurse practitioner, and no requirement to be in the office....
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Concurrent Quality Reviewer

Houston Methodist - 756 reviews - Nassau Bay, TX
Knowledge of quality or utilization review and principles required. 1 to 3 years' quality or utilization review background preferred....

Research Nurse- Palliative Care & Rehab Medicine Research

MD Anderson Cancer Center - 248 reviews - Houston, TX
Assess patients for protocol eligibility through personal interviews and /or medical record review in the inpatient or outpatient setting....

Pre-Certification Reviewer

Universal American - 79 reviews - Houston, TX 77081 (Bellaire area)
Reviews service requests submitted by physicians to include review of evidence/clinical documentation and its medical necessity....

Registered Nurse: Advanced Illness Management Program

Symptom Management Consultants - Humble, TX
Review past medical, past surgical and social history for any changes. Review past medical, past surgical and social history initially and for any changes....
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Contract Nurse Hospital Bill/Charge Auditor
SCIOinspire - Houston, TX
Two years medical claim review/hospital charge audit experience. SCIO Health Analytics is look for Contract Nurse Hospital Bill/Charge Auditors in Ohio and...
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Field Service Coordinator - RN
WellCare - 559 reviews - Houston, TX
Licensed Registered Nurse (RN) is required. Ability to create, review and interpret treatment plans. Coordinates community resources, with emphasis on medical,...
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