Utilization Review Nurse jobs in Houston, TX

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Legal Nurse Consultant
MRC 49 reviews - Houston, TX
Participates in department or unit quality improvement activities, may quality review nurse work product as needed;...
Sponsored by MRC  - 30 days ago
RN - Case Management Job
ProHealth Staffing. - Houston, TX
BSN, Pediatric and case/care management experience, Case Manager certification and Utilization Review. ProHealth is looking for a Pediatric Case Management...
Sponsored by ProHealth Staffing.  - 27 days ago
Charge Nurse Medical Surgical Unit
Houston Methodist 438 reviews - Houston, TX
Registered Nurse with current Texas license. Reviews staffing levels on an ongoing basis during the assigned shift....
Sponsored by Houston Methodist  - 30+ days ago

Utilization Management Nurse RN - Houston, TX

UnitedHealth Group 2,053 reviews - Houston, TX
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Case Management, Case Manager, Houston, TX, Texas....

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 507 reviews - Sugar Land, TX 77478
Bilingual nurses preferred. The Utilization Management Nurse Consultant duties include, but are not limited to, the following:....

Registered Nurse

Sono Bello 12 reviews - Houston, TX
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Corporate Nurse Educator- RN- Full Time "Road Warrior"

Cornerstone Healthcare Group 17 reviews - Houston, TX
Current registration with the State Board of Registered Nurses and/or Clinical Nurse Specialist Certification....

Nurse Charge Auditor

Adreima - Houston, TX
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....

Pre-Cert Nurse LVN

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

Field Based RN Case Manager

APS Healthcare 68 reviews - Houston, TX
In order to meet the needs of our members we serve, we are looking for outstanding clinically skilled Registered Nurses and Licensed Vocational Nurses, who...

Retro Medicaid RN

Shared Services - Houston - Houston, TX
Utilization Review, appeals, denials, managed care contracting, experienced preferred. Escalate medical review request and/or denial activities to....


Houston Methodist 438 reviews - Houston, TX 77030(Medical area)
Registered Nurse, Bachelor’s degree required. Registered nurse with current Texas license. Risk/benefits, including utilization of expanded donors, high-risk...

Treatment Nurse

Legend Healthcare 24 reviews - Katy, TX 77450
Graduation from a basic educational program as Practical (Vocational) Nurse or Registered Nurse. Signature of Treatment Nurse Date MINIMUM REQUIREMENTS....
Cypress Fairbanks Medical Center 4 reviews - Houston, TX
Quality, Case Management and/or Utilization Reviewexperience preferred; This position integrates care coordination, utilization management, and discharge...
Sponsored by Tenet Healthcare  - 30+ days ago
DISCHARGE NURSE - Med/Surg - Full-Time - Days - Jones 11
Houston Methodist 438 reviews - Houston, TX
Review Discharge Orders. Registered Nurse with current Texas license. The Discharge Nurse is a Registered Nurse, who as an experienced clinician functions at...
Sponsored by Houston Methodist  - 22 days ago

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