Utilization Review Nurse jobs in Houston, TX

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Nurse Clinical Navigator
Inpatient Physician Associates PLLC
Houston, TX
Utilization management experience (preferred). Licensed to practice as a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) in the state of Texas....
Easily apply
Director of Quality Improvement, Licensed Nurse
NeuroRestorative Texas
Houston, TX
Active Nurse License. Conduct periodic on-site compliance reviews. Oversee data integrity and utilization of Network databases for assigned state....
Easily apply
RN Case Manager
Medical Practice
Houston, TX
Case management/ utilization review:. Three years of case management and/or utilization review. Experience with utilization management....
Easily apply

Utilization Review Specialist - LVN or LPN

Houston, TX 77030 (Medical area)
$49,600 - $62,000 a year
Reviews all available data sources to provide utilization review (admission, continued stay, retrospective and readmission review, management of observation...

Case Manager/Utilization Review Specialist - PRN - Telecommu...

Tandem Hospital Partners
Houston, TX
Performs activities that support the clinical review and timely resolution of requests for prior authorization, concurrent review, and retrospective reviews....

Utilization Management Nurse/RN (CHC)

Houston, TX 77054 (Medical area)
Prefer at least one year of utilization review experience in a managed care environment. The UM RN will perform utilization review of Community members...

Nurse IV

Houston, TX
$4,714 - $7,533 a month
The Nurse Reviewer plans and conducts reviews and investigations, prepares reports and makes appropriate notification for the Office of Inspector Utilization...

Nurse Client Advocate

Pyxis Care Management
Houston, TX
Utilization review experience. Under the supervision of the Team Lead, the Nurse Client Advocate (NCA) devotes his/her best efforts to building and maintaining...
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Utilization Management (UM) Nurse-RN (CHC)

Houston, TX 77054 (Medical area)
The Utilization Management RN will perform utilization review of Community members requiring authorization for health services....

Utilization Review Specialist

Houston, TX
Uses appropriate criteria sets for admission reviews, continuing stay reviews, outlier reviews and clinical appropriateness recommendation....

Utilization Review Manager

Houston, TX 77001
Reviews utilization management activities for occurrences and trends that affect the quality, cost-effectiveness, and delivery of services....
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Supplemental Utilization Review Specialist

Houston, TX
Uses appropriate criteria sets for admission reviews, continuing stay reviews, outlier reviews and clinical appropriateness recommendation....

Nurse Clinical Navigator

Inpatient Physician Associates PLLC
Houston, TX
Utilization management experience (preferred). Licensed to practice as a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) in the state of Texas....
Easily apply
Nurse Data Collection Specialist (PICU)
Timely utilization of resources. Evidence by review of completed. Looking for a Nurse Data Collection Specialist to take responsibility for the collection and...
NICU Case Manager
Completes Utilization Management and Quality Screening for assigned patients. The role integrates and coordinates resource utilization management, care...
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