Utilization Review Nurse jobs in Houston, TX

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Senior Human Resources Business Partner

Houston, TX
Participate in periodic business strategic planning and review cycles; We promptly review all applications and are actively interviewing so apply today....

Staff Nurse III (First Assistant Certification) Pediatric Su...

Houston, TX
Instructs and counsels patients and families or treatment team concerning home care, potential problems, emotional concerns or utilization review status....

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...

Quality Improvement Director, Nurse

Bellaire, TX
Active Nurse License. Quality Improvement Director, Nurse. Conduct periodic on-site compliance reviews. Oversee data integrity and utilization of Network...

Senior Clinical Manager

Houston, TX
Conducts semi -annual and annual colleague performance reviews. Includes daily, weekly and monthly report review and analysis....

Home Health RN Manager of Clinical Practice

Houston, TX 77063 (Westchase area)
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...

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....
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Case Management Representative

Houston, TX
Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies as necessary and...

Case Manager II

Houston, TX
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....

Registered Nurse (RN) Case Manager (PRN)

Kingwood, TX
Registered Nurse (RN) Case Manager- Utilization Review. This position requires Utilization Review experience....
Registered Nurse, RN, Utilization Management Nurse - WellMed...
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
Medical Compliance Auditor - The Health Plan
At least two years of managed care expertise, and/or utilization review experience. Perform Clinical and Coding Review on Medical Claim Appeals....
Registered Nurse (RN) Case Manager
Registered Nurse (RN) Case Manager. A minimum of one year of experience in discharge planning, case management, utilization review, or bed management....
Registered Nurse (RN) Case Manager PRN
Documents medical necessity review for established level of care in the MIDAS utilization review module. Registered Nurse (RN) Case Manager PRN(Job Number:....
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