Utilization Review Nurse jobs in Houston, TX

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Registered Nurse Case Manager
Advantage Nursing Services, LLC - Houston, TX
Must have 2 years of Med Surg and Woman's Services along with case management, utilization review and discharge planning experience....
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Sponsored by Advantage Nursing Services, LLC - 6 days ago
RN - Supervisor Case Management (LTC)
Molina Healthcare 131 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...
Sponsored by Molina Healthcare - 10 days ago
Registered Nurse (RN)
Cigna 871 reviews - Houston, TX
Performs all utilization review activities according to Health Services policy and procedures. 2-3 years clinical experience with at least 1-2 years in...
Sponsored by HospitalRecruiting.com - 11 days ago

Utilization Management Analyst

Texas Children's Hospital 122 reviews - Houston, TX
Utilization Management Analyst Job ID:. Licensed Vocational Nurse (LVN) current in the state of Texas and five (5) years of utilization management experience,...

Utilization Review Nurse - Houston

Cigna 871 reviews - Houston, TX
Utilization Review Nurse - Houston. The Inpatient Review Nurse. Management Supervisor and Director of Inpatient Utilization Management, the Inpatient Review...

On Site Case Management Coordinator

Blue Cross Blue Shield 1,505 reviews - Houston, TX
Utilization management experience. This position conducts on-site reviews and assessments, reviews service requests, collects clinical and non-clinical data,...

Precertification\Utilization Review Coordinator

Universal Health Services - Houston, TX
Also reviews with payor sources and receives authorization for the type and volume of services through all levels of care and aftercare review....

RN CLINICAL COMM COORD

Houston Methodist 409 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...

RN Case Manager Telephonic , Pediatrics - Sugar Land, TX

UnitedHealth Group 1,939 reviews - Sugar Land, TX
Experience in utilization review, concurrent review and/or risk management. Registered Nurse, RN, case manager, Pediatrics, case management, managed care,...

Utilization Review Case Mgr

The University of Texas Medical Branch 12 reviews - Houston, TX
Utilization Review Case Mgr. Prefer Utilization Management and/or Case Management experience. Graduation from an accredited school of professional nursing and...

Registered Nurse (RN) Telephonic Case Mgr II (Office-based;...

Molina Healthcare 131 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...

Manager, Clinical Case Management (1) - Binz

UT Health Science Center at Houston 42 reviews - Houston, TX
Responsible for coordinating an integrated population health management program, which encompasses utilization review, case management, care coordination,...

Case Manager- Full Time Days

Cornerstone Healthcare Group - Houston, TX
Coordinates discharge planning to ensure continuity of care, performing utilization review, and facilitating the patient satisfaction survey process....
Nurse Educator-Houston Area - Dual Locations Conoe and Med C...
Cornerstone Healthcare Group - Houston, TX
Current registration with the State Board of Registered Nurses and/or Clinical Nurse Specialist Certification....
Sponsored by Cornerstone Healthcare Group - 30+ days ago
RN Case Manager Telephonic , Pediatrics - Sugar Land, TX
UnitedHealth Group 1,939 reviews - Sugar Land, TX
Experience in utilization review, concurrent review and/or risk management. Registered Nurse, RN, case manager, Pediatrics, case management, managed care,...
Sponsored by UnitedHealth Group - 2 days ago

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