Utilization Review Nurse jobs in Houston, TX

Filter results by:
Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Page 1 of 134 jobs
Upload your resume - Let employers find you
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
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....
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....

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...

Utilization Review Case MgrCMC - Baybrook Office

Friendswood, TX 77546
Supports the UTMB Utilization Management Program utilizing clinical knowledge, expertise, and criteria guidelines....

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...

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....
Easily apply

Supplemental Utilization Review Specialist

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

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...
Easily apply
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:....
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...
Let Employers Find You
Every day, thousands of employers search Indeed.com for candidates like you.
Upload Your Resume