Utilization Review Nurse $70,000 jobs in Houston, TX

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Case Manager-Registered Nurse-Road Warrior
Home care, case management, managed care or utilization review required. RN – Licensed Registered Nurses from the Board of Nurse Examiners for the State of...
Utilization Review RN Travel Nurse-18060700742
RNTravelWeb
Houston, TX
Utilization Review RN travel nurse is needed for a 13 week assignment. Travel UR nurses earn top pay! The UR Nurse will have knowledge of CMS and will work with...
RN Clinical Operations Manager - Home Health
Registered nurse (RN) licensed in Texas or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NCL)....
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Utilization Review Manager

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

Utilization Review Specialist

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

Supplemental Utilization Review Specialist

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

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 (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....

RN Nurse Case Manager - (Living-Well Clinic) Downtown/Centra...

Houston, TX
Knowledge of utilization review requirements and procedures. Provides clinical assessments, health education, and utilization management to customers....

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...

Case Manager Concurrent Review

Pearland, TX 77584
Case Manager Concurrent Review. Registered Nurse, ADN or Masters degree in Social Work. At least 2 years in area of specialization, 2 years of Case Management...

Supplemental Utilization Review Specialist - RN _ Home Care

Stafford, TX
Uses appropriate criteria sets for admission reviews, continuing stay reviews, outlier reviews and clinical appropriateness recommendation....
Hospice Administrator/ DON
$75,000 - $100,000 a year
Registered Nurse (RN) (Required). Responsible for development and revision of quality assurance, utilization review, and risk management plans....
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RN Case Manager
Medical Practice
Houston, TX
Case management/ utilization review:. Three years of case management and/or utilization review. Experience with utilization management....
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