Utilization Review Nurse jobs in Houston, TX

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Utilization Review Nurse
$50,000 - $75,000 a year
The Utilization Review Nurse works independently to plan, implement, and/or coordinate quality patient care and cost effective utilization of healthcare...
Desired Experience: RN, Case Management, LVN
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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:....
Desired Experience: RN

Case Manager II *$10,000 Sign-On Bonus

Houston, TX
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....
Desired Experience: Case Management, BLS Certification, Time Management, RN, Managed Care

Registered Nurse - Clinical Operations Manager

Baytown, TX 77521
Hospital Staff Nurse:. Registered nurse (RN) licensed in Texas or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NCL)....
Desired Experience: RN, Reliable Transportation, Management Experience, Driver's License, Home Care
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RN Nurse Case Manager (Onsite) - Baytown,Pasadena or Clearla...

Houston, TX
Knowledge of utilization review requirements and procedures. Two years (2) years recent experience in a case-management or utilization management position....
Desired Experience: Bilingual, RN

Case Manager - TMC Neuro

Houston, TX
Completes Utilization Management and Quality Screening for assigned patients. The role integrates and coordinates resource utilization management, care...
Desired Experience: Motivational Interviewing, Case Manager Certification, Time Management, RN, Social Work Certification, Conflict Management, Leadership Experience, Managed Care

Case Manager II

Houston, TX
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....
Desired Experience: RN, Case Management, BLS Certification, Managed Care

Project Manager I - Quality Management

Houston, TX 77002 (Downtown area)
Facilitates Stage Gate Reviews; Manages utilization of operational and capital funds, based upon the project budget;...
Desired Experience: Microsoft Project, Primavera, Project Management, Project Management Methodology

Rehab Care Coordinator- Inpatient

Houston, TX
Case management and coordination, quality management, utilization review or discharge planning, and pediatrics experience preferred....
Desired Experience: RN, Case Management, Pediatrics Experience

Case Manager $5000 Sign On Bonus Kindred Hospital Medical Ce...

Houston, TX
Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals, ACLS...
Desired Experience: Quality Management

Medical Compliance Auditor - The Health Plan

Bellaire, TX
At least two years of managed care expertise, and/or utilization review experience. Perform Clinical and Coding Review on Medical Claim Appeals....
Desired Experience: Microsoft Word, RN, Managed Care

Case Manager II Weekends

Houston, TX
Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay....
Desired Experience: RN, Case Management, BLS Certification, Managed Care
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....
Desired Experience: BLS Certification, RN
Utilization Review Supervisor (LVN)
Utilization Review Supervisor (LVN). 4 years combined experience as a Utilization Review Nurse, Case Manager or Nurse Preceptor or equivalent experience in a...
Desired Experience: LVN, Driver's License, Management Experience
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....
Desired Experience: RN
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