Utilization Review Nurse jobs in Houston, TX

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 138
Upload your resume - Let employers find you
Transitional Care RN / Case Managers
MedCore Talent 4 reviews - Houston, TX
Review of BPCI process and outcomes performance to drive performance. Success in the role will be defined by reductions in avoidable patient complications and...
Easily apply
Sponsored by MedCore Talent - 4 days ago
Case Manager- Full Time Days
Cornerstone Healthcare Group 16 reviews - Houston, TX
Coordinates discharge planning to ensure continuity of care, performing utilization review, and facilitating the patient satisfaction survey process....
Sponsored by Cornerstone Healthcare Group - 26 days ago

Clinical Appeals Reviewer/Case Manager

Addison Healthcare 3 reviews - Houston, TX 77076 (North area)
A Houston LTAC Hospital Facility I work with is looking for an LVN/RN to work onsite and do their clinical appeals, auditing, and utilization review....
Easily apply

RN Clinical Appeals Nurse

Christus Health 101 reviews - Houston, TX
The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), Inter....

Nurse Supervisor Case Management (Non-remote; Nursing Facili...

Molina Healthcare 142 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...

Prebill Analyst

Prebill Denial – Houston - Houston, TX
The Prebill Denials Analyst will escalate medical review request and/or denial activities to the Prebill Denials Nurse....

REVENUE CYCLE NURSE AUDITOR

Houston Methodist 417 reviews - Houston, TX 77030 (Medical area)
Some experience with utilization review/management and/or pre-certification processes. Completes routine reviews of billed services and supporting medical...

CASE MANAGER (RN) FT DAYS

Cypress Fairbanks Medical Center 895 reviews - Houston, TX
Quality, Case Management and/or Utilization Reviewexperience preferred; This position integrates care coordination, utilization management, and discharge...

Medical Case Manager - Field/Utilization Review - TMC

TRISTAR Risk Management 17 reviews - Houston, TX
Current, active nurse licensure. Evaluate treatment requests and review clinical information received with treatment protocols and guidelines, identify medical...

Nurse Medical Management I - Houston, Texas

Anthem, Inc. 582 reviews - Houston, TX
The ideal candidate must have acute care clinical or utilization review experience. Conducts pre-certification, inpatient, retrospective, out of network and...

Registered Nurse (RN) Case Mgr II (Nursing Facility; Remote)

Molina Healthcare 142 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, NCSN, PNP, Field RN, field nurse, telephonic nurse, LPN, LVN,...

RN Medical Case Mgr - Workers Compensation

The Travelers Companies, Inc. - Houston, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
DISCHARGE NURSE - Full Time - Days
Houston Methodist 417 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 - 30+ days ago
Nurse, RN, Ambulatory - Hematology / Oncology, RELOCATION AS...
Nemours 53 reviews - Houston, TX
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nemours - 11 days ago
Registered Nurse RN Transitional Care Case Manager
MedCore Talent 4 reviews - Houston, TX
Core Talent has been selected by a well respected progressive healthcare organization to screen and recruit the ideal Transitional Care Registered Nurse to...
Sponsored by CareerVitals.com - 7 days ago

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review Nurse jobs in Houston, TX
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Utilization Review Nurse jobs
4 reviews
MedCore Talent is a boutique executive search and consulting firm providing recruiting solutions to world-class healthcare organizations.