RN Utilization Review Texa jobs

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Quality Resourse Management Manager
University General Hospital - Houston - Houston, TX
Current RN License in the State of Texas. Maintains centralized records of activities to ensure ready access for review and follow-up....
Sponsored by University General Hospital - Houston - 30+ days ago
Clinical Appeals - Work from Home - WA, Oregon, CA, Texas
UnitedHealth Group 1,926 reviews - Cypress, CA
Utilization review and/or case management experience. Claims, RN, Appeals, Telecommute, Work from home, WA, Washington, OR, Oregon, CA, California, TX, Texas....
Sponsored by UnitedHealth Group - 2 days ago
Preservice RN - Bariatric - Phoenix, AZ
UnitedHealth Group 1,926 reviews - Phoenix, AZ
RN Texas, Bariatric Nursing, Bariatric, Dallas Texas. Perform utilization and concurrent review using Milliman criteria. Unrestricted, active RN license....
Sponsored by UnitedHealth Group - 23 days ago

Utilization Review Nurse - Houston

Cigna 866 reviews - Houston, TX
Utilization Review Nurse - Houston. Performs all utilization review activities according to Health Services policy and procedures....

Clinical Review-RN-UM-Variable Shift-THR Job

Texas Health Resources 137 reviews - Arlington, TX
RN. Texas Health Resources has an opportunity for a Clinical Review RN working full time, on the variable shift, in a Utilization Review position....

Registered Nurse (Utilization Management)

Department of Veterans Affairs 940 reviews - Harlingen, TX
As a Nurse assigned to Quality Management for Texas Valley Coastal Bend Health Care System, you will serve as the Utilization Management Clinician and will be...

RN CASE MANAGER-CASE MANAGEMENT-FT-DAYS-STE-10120197

Christus Health 99 reviews - Beaumont, TX
Prior Case Management and/or Utilization Review experience preferred. Current RN license in State of Texas (or active license in another state and in the...

Clinical Appeals - Work from Home - WA, Oregon, CA, Texas

UnitedHealth Group 1,926 reviews - Cypress, CA
Utilization review and/or case management experience. Claims, RN, Appeals, Telecommute, Work from home, WA, Washington, OR, Oregon, CA, California, TX, Texas....

RN Health Services Sr Specialist - McAllen, Texas

Cigna 866 reviews - McAllen, TX
May coordinate and manage utilization review function ensuring accurate and timely prior authorizations, concurrent and retrospective review activity....

Registered Nurse (Compensation and Pension) Frank Tejeda Out...

Department of Veterans Affairs 940 reviews - San Antonio, TX
Makes recommendations to Supervisor for changes within the work environment for better utilization and organization of space....

Utilization Review Coordinator

Austin Recovery 10 reviews - Austin, TX
Trouble shoots Utilization Review problems (i.e. We are currently seeking a Utilization Review Coordinator to work at our facility in Austin, Texas....

Clinical Case Specialist

KCI 115 reviews - San Antonio, TX
Current RN, LVN, or CPN license in the state of Texas. Experience working in a Utilization Management position....

Utilization Management Nurse Consultant

LanceSoft Inc. - Plano, TX 75093
It includes utilization review of cases primarily from California and requires a Texas RN license. This position will be reporting to a customer site, AIG in...
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Field Care Advocate - Houston, TX
UnitedHealth Group 1,926 reviews - Houston, TX
Administer benefits and review treatment plans. As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization review...
Sponsored by UnitedHealth Group - 18 days ago
Preservice Review Nurse, RN - Richardson, TX
UnitedHealth Group 1,926 reviews - Richardson, TX
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...
Sponsored by UnitedHealth Group - 3 days ago

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