Utilization Review Nurse jobs in Houston, TX

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Medical Compliance Auditor - Health Plan
Perform Clinical Review and make recommendation on Audit Pass/Fail. This process includes clinical judgment, utilization review, application of product benefits...
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Utilization Management Clinical (RN) - STAR Kids - Bellaire,...
Registered Nurse (RN) license without restriction by the Texas State Board of Nursing. You’ll also perform telephonic and/or concurrent review of inpatient...
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Case Manager I
Completes Utilization Management and Quality Screening for assigned patients. The role integrates and coordinates utilization management, care facilitation and...
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Nurse III

Dept of Aging & Disability Svc - 26 reviews - Houston, TX
$4,023 - $6,579 a month
Nurse III Under the direct supervision of the UR Regional Manager, the utilization review (UR) nurse reviews and evaluates individuals records, individual...

Nurse Auditor

MedData - 19 reviews - Houston, TX
Payer Utilization Review Audits. Registered Nurse or Licensed Vocational Nurse. Medical Necessity Denial Reviews. Other Denial Reviews for Appeal:....

Utilization Review Nurse - FT, Days

St. Joseph Medical Center - 127 reviews - Houston, TX 77002 (Downtown area)
The Utilization Review Nurse covers all of the nursing units throughout the hospital so as to ensure that all patients are seen when providing relief for the RN...

RN CLINICAL COMMUNICATION COORDINATOR $5,000 Sign On Bonus

Houston Methodist - 726 reviews - Houston, TX 77030 (Medical area)
Risk/benefits, including utilization of expanded donors, high-risk donors, if applicable. EDUCATION REQUIREMENTS Registered Nurse, Bachelor’s degree required...

Utilization Review Nurse - Financial Clearance Center

MD ANDERSON CANCER CENTER - 243 reviews - Houston, TX
Two years’ experience in utilization review with external payors within a hospital or insurance setting. Two years experience in nursing or one year related...

Utilization Management Clinical (RN) - STAR Kids - Bellaire,...

Texas Children's Hospital - 194 reviews - Houston, TX
Registered Nurse (RN) license without restriction by the Texas State Board of Nursing. You’ll also perform telephonic and/or concurrent review of inpatient...

Clinical Appeals RN - Fair Hearings - TX STAR Kids - Sugar L...

UnitedHealth Group - 3,953 reviews - Houston, TX
One year experience in Prior Authorization, Appeals, Utilization Review background. The role focuses on review of member appeals and fair hearing requests -...

Nurse Auditor

Houston Methodist - 726 reviews - Houston, TX 77058 (Pasadena area)
3-5 years of recent experience in clinical operations, medical record auditing, coding, billing, utilization review or reimbursement....

Hiring Utilization Review Nurse!

Medix - 51 reviews - Houston, TX
This Utilization Review Nurse position is Contract – Hire and offers very competitive pay! Medix is hiring an LVN or RN Utilization Review Nurse immediately for...

Program Manager and Regional Clinical Manager - Texas

REACH Air Medical Services - 3 reviews - Houston, TX 77054 (Medical area)
Actively participates in the Utilization Review Process. Develops, reviews, and revises clinical policies, procedures, and protocols as needed....
Quality Improvement RN
Healthcare Support - 71 reviews - Houston, TX
$30 - $32 an hour
Are you an experienced Registered Nurse with Quality Improvement, Utilization Review or HEDIS experience looking for a new opportunity with a prestigious...
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Regional Director of Nursing - Works Remote
Good Neighbor Care Centers - Houston, TX
Registered Nurse (RN). Advises on and oversees programs for infection control, discharge planning, utilization review, case management, and quality assessment...
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Company with Utilization Review Nurse jobs
Texas Children's Hospital is an internationally recognized full-care pediatric hospital located in the heart of Houston's Medical Center.
Utilization Review Nurse salaries in Houston, TX

$28.72 per hour

7.4% lower than national average

$24.05$34.31
Common

Estimated salary from 17 jobs