Utilization Review Nurse jobs in Houston, TX

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Registered Nurse (RN) - Clinical Documentation Specialist
Centra Healthcare Solutions - Houston, TX
Centra Healthcare Solutions is seeking an experienced Clinical Documentation Specialist Registered Nurse (RN) that is licensed or in the immediate process, and...
Sponsored by Centra Healthcare Solutions - 6 days ago
Clinical Appeals RN
UnitedHealth Group 1,547 reviews - Houston, TX
Utilization review, UR, utilization management, UM, TPA, managed care, insurance, concurrent review, appeals, provider appeals, member appeals, RN, Registered...
Sponsored by UnitedHealth Group - 5 days ago

Utilization Management Nurse RN - Houston, TX

UnitedHealth Group 1,547 reviews - Houston, TX
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Case Management, Case Manager, Houston, TX, Texas....
10 days ago - save job - block - email - more...

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

Aetna 362 reviews - Sugar Land, TX 77478
Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...
18 days ago - save job - block - email - more...

CLINICAL DOCUMENTATION SPECIALIST

Global Talent - Baytown, TX
Utilization review, reimbursement, or coding experience is preferred. Current licensure to practice as a Registered Nurse in the State of Texas required....
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11 hours ago - save job - block - email - more...

Case Manager FT - Kindred Hospital Sugar Land

Kindred Healthcare 785 reviews - Sugar Land, TX
Prefer experience in Case Management, Quality Management, Utilization Review, or discharge planning. Follows patients throughout the continuum of care and...
6 days ago - save job - block - email - more...

Clinical Informaticist (Analyst)

Houston Orthopedic and Spine Hospital (HOSH) - Bellaire, TX
Expanded clinical nursing role experience, i.e., charge nurse, shift supervisor, committee participation, etc., required....
7 days ago - save job - block - email - more...

Utilization Management Clinical RN Health Plan

Texas Children's Hospital 102 reviews - Houston, TX
Utilization Management Clinical RN - Health Plan Job ID:. Registered Nurse graduate of accredited school of nursing....
2 days ago - save job - block - email - more...

Behavioral Health Care Advocate - Houston, TX

UnitedHealth Group 1,547 reviews - Houston, TX
As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases....
4 hours ago - save job - block - email - more...

Supplemental Pharmacist II

Memorial Hermann Healthcare System 107 reviews - Houston, TX
Develops and implements utilization reviews targeted for expensive, potentially harmful or improperly used drugs....
11 days ago - save job - block - email - more...

RN Utilization Management Supervisor - Houston, Texas

Cigna 716 reviews - Houston, TX
Review and analyze utilization patterns to identify area of opportunities for efficient and cost-effective medical care....
6 days ago - save job - block - email - more...

Pre-cert Nurse, LVN

APS Healthcare 61 reviews - Houston, TX
Reviews service requests submitted by physicians to include review of evidence/clinical documentation and its medical necessity....
4 days ago - save job - block - email - more...
RN - Clinical Documentation Specialist - Day(8AM-5PM)
Houston Northwest Medical Center 709 reviews - Houston, TX
Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....
Sponsored by Tenet Healthcare - 19 days ago
RN Case Manager - (Operative Care Line)
Department of Veterans Affairs 736 reviews - Houston, TX
Serve as a role model for utilization of appropriate professional communication and conflict management techniques....
Sponsored by Department of Veterans Affairs - 9 days ago
Vintage Quality, Risk Mgt, Accreditation Specialist
CHI St. Luke’s Health - Houston, TX
3 years previous experience in Quality and/or legal nurse consulting. Candidates with completed profiles and attached resumes may be given preference in the...
Sponsored by CHI St. Luke’s Health - 30+ days ago

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Company with Utilization Review Nurse jobs
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.