Utilization Review Nurse jobs in Houston, TX

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Preservice Review Nurse - Houston, Telecommuting
RN, Nurse, Preservice, UM, UR, Clinical Review, Utilization Management, Utilization Review, Case Manager, Case Management, LTC, Long Term Care, Medicaid,...
Sponsored by UnitedHealth Group
RN Supervisor Preservice Review - Telecommuting
Minimum 1 year of experience in preservice review or utilization management. RN, Nurse, Supervisor, Supervisory, Team Lead, Leadership, Management, Preservice...
Sponsored by UnitedHealth Group
Onsite Utilization Management Nurse - Houston, TX
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, InterQual, Managed Care, Insurance, Case Management, Case...
Sponsored by UnitedHealth Group

CASE MGR II

The Methodist Hospital - 454 reviews - Houston, TX 77030 (Medical area)
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....

RN Medical Case Mgr - Workers Compensation

The Travelers Companies, Inc. - 4 reviews - Houston, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Nurse IV

Health & Human Services Comm - Houston, TX
$4,599 - $7,349 a month
The Nurse Reviewer plans and conducts reviews and investigations, prepares reports and makes appropriate notification for the Office of Inspector Utilization...

Telephonic Care Advocate - Multiple Locations

UnitedHealth Group - 2,187 reviews - Houston, TX
Managed care or utilization review experience desirable. Or registered psychiatric nurse. Appropriately identify need for higher level of review such as...

Field Based RN Case Manager

APS Healthcare - 72 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...

Clinical Support Specialist - Houston, TX

Getinge Group - 4 reviews - Houston, TX
Physicians, nurses and other hospital personnel. Performs clinical and library research and participates in case reviews and clinical observation by working...
Easily apply

RN TRANSPLANT COORDINATOR II

The Methodist Hospital - 454 reviews - Houston, TX 77030 (Medical area)
Registered Nurse, Bachelors degree required. Registered nurse with current Texas license. Risk/benefits, including utilization of expanded donors, high-risk...

Nurse Auditor / Revenue Cycle

StaffPointe - 3 reviews - Houston, TX
$61,000 - $79,000 a year
Some Experience with Utilization Review/Management and/or Pre-certificate processes is necessary. Our Houston area hospital is seeking an experienced Revenue...
Easily apply

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....

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....
DIR CARE MANAGEMENT
Care Facilitation, Utilization Management, Case Management and Discharge Planning. Minimum five years experience in utilization management, case management,...
Sponsored by Memorial Hermann
Telephonic Care Advocate - Multiple Locations
Managed care or utilization review experience desirable. Or registered psychiatric nurse. Appropriately identify need for higher level of review such as...
Sponsored by UnitedHealth Group

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Company with Utilization Review Nurse jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier