Utilization Review Nurse jobs in Houston, TX

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Utilization Review Nurse
$50,000 - $75,000 a year
Utilization Review Nurse coordinates medical and/or pharmacy prior authorization request, perform preadmission, concurrent and retrospective review of...
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Utilization Review Supervisor (LVN)
- Pearland, TX 77584
The UR Supervisor supervises and directs the pre-certification process and staff assigned to work groups to ensure compliance with the delegated utilization...

Utilization Review Supervisor (RN)

- Pearland, TX 77584
The UR Supervisor supervises and directs the pre-certification process and staff assigned to work groups to ensure compliance with the delegated utilization...

Utilization Review Supervisor (LVN)

- Pearland, TX 77584
The UR Supervisor supervises and directs the pre-certification process and staff assigned to work groups to ensure compliance with the delegated utilization...

Case Manager-Utilization Management

- Pearland, TX 77584
This includes, but is not limited to: tracking utilization of resources, coordinating complex treatment protocols, cooperate with a multidisciplinary team to...

Nurse Data Collection Specialist (CVICU)

- Houston, TX
The data provided will ensure a comprehensive system of care to optimize strategic and operational coordination, improve outcomes for ill children and...

Registered Nurse (RN)

CARISSA HEALTH CARE SERVICES, INC
- Houston, TX +1 location
$35 - $40 an hour
* Prepares clinical and progress notes for each patient visit and summaries of care conferenced on his/her patients in a timely manner as per Agency policy
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Nurse Navigator Care Assure Program

- Houston, TX
Reviews patient case lists generated by technology-enabled data triggers to identify patients that could benefit from intervention, while tracking outcomes...

Nurse Auditor - Galleria area

- Houston, TX 77054 (Medical area)
Providing a post-audit a report that summarizes the accuracy of the charges reviewed, any opportunities for improving processes, as well as recommendations...

Nurse Data Collection Specialist (PICU)

- Houston, TX
The data provided will ensure a comprehensive system of care to optimize strategic and operational coordination, improve outcomes for ill children and...

Case Management Denials Coordinator

- Houston, TX 77002 (Downtown area)
5. Requires advanced analytical and critical thinking skills necessary to determine root cause of denial which includes patient access, case management...

Clinical Appeals and Audit Nurse

- Houston, TX
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports...
Registered Nurse (RN) Case Manager
This facilitation includes evaluation of the history and physical, treatment plan, admission orders, and patient demographics against Inter-Qual and unit...
Registered Nurse (RN) Case Manager PRN
Actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization...
RN - Case Manager Utilization Review - Local Contract
Registered Nurse - Accountable Healthcare has a Case Management contract available at a hospital located at a comprehensive cancer center in the medical center.
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