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Utilization Review Specialist (remote)
access_time Posted 26 days ago
account_balance Coronis Health
location_on El Paso
The UR Specialist will report to UR Manager. Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies
PreCert Nurse / Utilization Review Nurse
access_time Posted 1 month ago
account_balance Nexus
location_on Conroe
Exemplary planning and time management skills * Ability to work in high pressure, deadline driven ... Company Description Leader in the Utilization Review industry. Fast growing company with a ...
Utilization Management Nurse
access_time Posted 5 days ago
account_balance Ethos Risk Services
location_on Austin
The Utilization Review Nurse performs the initial clinical review, prepares an organized case ... Certified Case Manager (CCM), Health Care Quality & Management (HCQM) or equivalent certification ...
Utilization Management Coordinator- Fulltime
access_time Posted 12 days ago
account_balance Houston Behavioral Healthcare Hospital
location_on Houston
The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to ...
Utilization Management Nurse
access_time Posted 5 days ago
account_balance Adecco Perm Team
location_on Dallas
... Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual or Milliman in an acute care setting, and Bilingual preferred. Hours: M-F 7am-3pm, 8am-4pm ...
Utilization Management Coordinator - Bilingual
access_time Posted 19 days ago
account_balance TenderHeart Health Outcomes
location_on Austin
Because of these better outcomes and our value-based model, managed care organizations (MCOs ... Utilization review: 1 year (Preferred)
Clinical - Clinical Review Nurse - Prior Authorization
access_time Posted 5 days ago
account_balance Axelon Services Corporation
location_on Houston
Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure requiredPerforms medical necessity and clinical reviews of ...
Physician - Advisor (Care Management & CDI)
access_time Posted 1 month ago
account_balance CHRISTUS Health
location_on Tyler
Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc ... Manager of any conflict of interest in reviewing a particular patient record. Assist with ...
Case Manager, Senior
access_time Posted 5 days ago
account_balance Encompass Health
location_on Plano
Master's degree preferred. - Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting. Machines, Equipment Used ...
Case Manager (RN) - PRN | San Antonio Northeast Rehab
access_time Posted 1 month ago
account_balance PAM Health
location_on San Antonio
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate ...
UM Coordinator
access_time Posted 19 days ago
account_balance Apex Health Solutions
location_on Houston
... Utilization Management Coordinator represents the company by serving as the frontline point of contact to providers and members for the utilization review (UR) of healthcare services. The UM ...
Operations Manager
access_time Posted yesterday
account_balance Dent Wizard International
location_on Austin
Fixed Operations Manager Job Description EXEMPT Basic Function Reporting to a District Manager ... Conducts weekly/monthly utilization review of client/department accounts Checks the quality of ...
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