Utilization Review Nurse jobs in Houston, TX

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Medical Staff Quality Coordinator (Days)
CHI St. Luke’s Health - Houston, TX
of p rior experience in utilization review, risk management or quality management preferred . Must hold a current license to practice as a registered nurse...
Sponsored by CHI St. Luke’s Health - 21 days ago
Telephonic Utilization Mangement Nurse RN - Texas
UnitedHealth Group 1,508 reviews - Houston, TX
Nurse Primary Responsibilities: Perform utilization management, utilization review, or concurrent review... Nurse, UR, UM, Utilization Review, Utilization...
Sponsored by UnitedHealth Group - 12 days ago
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Telephonic Utilization Mangement Nurse RN - Texas

UnitedHealth Group 1,508 reviews - Houston, TX
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...
12 days ago - save job - block - email - more...

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

Aetna 350 reviews - Sugar Land, TX
Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. Consults and lends expertise to other internal and...
7 days ago - save job - block - email - more...

Utilization Review Specialist (PT)

RightStep - Corporate - Houston, TX
The purpose of this position is to obtain authorization for precertification and concurrent review for all levels of care and to perform detox assessments and...
Elements Behavioral Health - 3 days ago - save job - block - email - more...

PERFORMANCE IMPROVEMENT SPCLST

Houston Methodist 361 reviews - Houston, TX 77030 (Medical area)
Conducts review, analysis, and integration of data in workflow design to support organizational mission and goals....
5 days ago - save job - block - email - more...

Nurse Manager - Transitions of Care

UT Health Science Center at Houston - Houston, TX
Selects, orients, supervises and evaluates clinic supervisory staff, nurses, and unlicensed staff, establishes standards of performance and maintains evaluation...
4 days ago - save job - block - email - more...

Nurse Practioner- IP

Bravo Health 27 reviews - Houston, TX
The nurse practitioner has responsibility for continuous, coordinated and comprehensive care of Health Spring members at designated institutional sites in...
2 days ago - save job - block - email - more...

CHARGE NURSE/ First Shift/Part-time/Women Services Post Surg...

Houston Methodist 361 reviews - Houston, TX 77030 (Medical area)
The RN Primary Charge Nurse is an experienced clinician who functions at the Competent stage of Benner's model of clinical practice....
8 days ago - save job - block - email - more...

Pre-cert Nurse, LVN

APS Healthcare 59 reviews - Houston, TX
The Pre-Cert Nurse will review clinical documentation to determine the medical necessity of requested services by providers and members....
5 days ago - save job - block - email - more...

Nurse IV

Health & Human Services Comm - Houston, TX
The Nurse Reviewer plans and conducts reviews and investigations, prepares reports and makes appropriate notification....
Texas Health and Human Services Commission - 6 days ago - save job - block - email - more...

RN Case Manager/Director of Patient Care Services

Pediatric Home Healthcare - Houston, TX
 The Director of Nurses/supervising nurse will identify. responsibilities and will notify the Administrator of. these needs....
Easily apply
5 days ago - save job - block - email - more...
Registered Nurse (RN) - Clinical Documentation Specialist
Centra Healthcare Solutions - Houston, TX
the specialty area of Utilization review in an acute... care setting required as a Registered Nurse.Utilization review, reimbursement, or coding experience is...
Sponsored by Centra Healthcare Solutions - 7 days ago
Case Manager - Registered Nurse
Bay Area Regional Medical Center - Texas
Conducts regular reviews for medical necessity of... Collaborates with payors and review organizations to ensure proper utilization of patient care resources...
Easily apply
Sponsored by Bay Area Regional Medical Center - 15 days ago
Vintage Quality, Risk Mgt, Accreditation Specialist
CHI St. Luke’s Health - Houston, TX
Quality and/or legal nurse consulting. Basic knowledge of DNV standards Strong analytical skills, basic knowledge of risk and utilization management Exhibit...
Sponsored by CHI St. Luke’s Health - 30+ days ago

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Company with Utilization Review Nurse jobs
1,508 reviews
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