Utilization review nurse jobs in Houston, TX
Utilization Review RN
Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award..
Utilization Review RN
Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award..
Medical Oncology Medical Director - Utilization Review
Job Description. Clinical Operations Medical Director Utilization Management of Medical Oncology.. following initial nurse review, of Medical Oncology regimens and supportive care.Perform physician level..
Travel Case Management (Utilization Review) RN (Registered Nurse) in Houston, TX - 709943
is hiring a travel RN RN (Registered Nurse) to work in Case Management (Utilization Review.. Review). Your skills are needed nationwide, and we're here to champion you on your career journey..
Clinical Review Nurse
Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.Skills Utilization ReviewAcute carePrior AuthorizationCCM CertificationACLS..
Loan Review Manager
Come grow with us! Job Description. Loan Review Manager The Loan Review Manager role provides leadership.. Individuals in this role have deep specialization in the loan review and all aspects of commercial..
Utilization Management Coordinator-PRN
Responsibilities Utilization Management Coordinator. PRN Opportunity West Oaks Hospital has provided.. Completes admission and continued stay reviews with managed care companies and obtains certification..
Credit Review Officer
Location. 5151 San Felipe St, Ste 730 Houston, TX 77056 The position of Credit Review Officer is.. assisting the SCRO in managing Credit Review staffs' review of new and existing clients. maintains..
Utilization Management Clinical Registered Nurse (RN)
Job Summary We are searching for a Utilization Management Clinical RN. someone who works well in a fast.. This role performs telephonic and or concurrent review of inpatient hospitalizations and extended..
ECT Registered Nurse (RN)
Technical Skills (40. of performance review) Responsible for maintaining a therapeutic milieu that is.. This includes competence in using electronic medical record and CPOE for all physician Nurse..
Utilization Management Nurse Consultant
Utilization Management Nurse ConsultantUtilizes clinical experience and skills in a collaborative.. years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state..
Review Project Manager - Antitrust
A fundamental aspect of this role is the ability to drive efficiencies for the success of our clients and lead managed review project team. projects successfully to meet client schedules..
Pricing & Review Specialist
SUMMARY This position is repsponsible for analyzing, reviewing, and making final decisions for benefit.. Analyzes, reviews, formulates pricing, compares relativity and makes final decisions of medical risk for..
Physician Peer Review Coordinator
Ability to review, summarize and analyze medical records. Demonstrated proficiency in word processing.. Principal Accountabilities Works in conjunction with the Manager of the Physician Peer Review System to..
Pharmacy Utilization Manager
Job SummaryThe Pharmacy Utilization Manager will oversee the efficient and effective usage of.. This individual will perform comprehensive utilization reviews on targeted formulary approved drugs..
Clinical Coverage Review Medical Director - Remote
Provide support for CCR nurses and non clinical staff in multiple sites in a manner conducive to.. Hands on experience in utilization and coverage review in a health plan. Data analysis experience..
Credit Balance Review Specialist
The Credit Balance Review Specialist is primarily responsible for monitoring and resolving credit.. The Credit Balance Review Specialist will review the patient's account to include. charges, accuracy of..
Utilization Management Clinician I - RN or LPN
Create an equitable work environment. About the Role The Level I Utilization Management Clinician.. Essential functions and Roles and Responsibilities Conduct review of hospital notification or prior..