Talent.com
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsBrownsville, Texas, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.

Key Responsibilities

Establish and maintain methods for ensuring medical necessity and appropriateness of outpatient admissions

Perform concurrent reviews to justify extended patient stays and document findings

Compile monthly reports and statistics for the Utilization Review Committee

Required Qualifications

Graduation from an accredited university in Psychology, Sociology, or a similar behavioral health field

One year of utilization review experience preferred

Active CPR Certification

serp_jobs.job_alerts.create_a_job

Utilization Review Specialist • Brownsville, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Tax Expert - Onsite

Tax Expert - Onsite

IntuitOlmito, TX, US
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utilization Management Supervisor

Utilization Management Supervisor

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a UM Coordinator Supervisor to oversee the operations and performance of the UM Coordinator team. Key Responsibilities Supervises UM Coordinators in intake, case creation,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Pharmacy Manager

Texas Licensed Clinical Pharmacy Manager

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Clinical Pharmacy Programs to join their Pharmacy team.Key Responsibilities Oversee clinical pharmacy programs and manage affordability projects Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Credentialing Specialist

Credentialing Specialist

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Credentialing Specialist to manage the credentialing process for reviewers.Key Responsibilities Conduct initial and recredentialing processes, including data entry, ver...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Florida Licensed UR Manager

Florida Licensed UR Manager

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities. Key Responsibilities Manage and support facilit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Utilization Review Administrative Assistant

Utilization Review Administrative Assistant

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.part_time
A company is looking for a Part-Time Remote Utilization Review / Admin Assistant.Key Responsibilities Manage intake paperwork and maintain organized electronic documentation in SharePoint Communic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).Key Responsibilities Acts as team leader for medical review and case management, providing guidance a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Commercial Title Examiner

Texas Licensed Commercial Title Examiner

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Commercial Title Examiner responsible for providing nationwide title services and supporting real estate transactions. Key Responsibilities Compiles, investigates, and e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Wisconsin Licensed Eligibility Specialist

Wisconsin Licensed Eligibility Specialist

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Title IV-E Eligibility Specialist for a contract-to-hire opportunity.Key Responsibilities Complete timely initial and six-month Title IV-E recommendations and track req...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Referral / Pre-Auth Specialist

Referral / Pre-Auth Specialist

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Referral / Pre-Auth Specialist for a full-time remote position.Key Responsibilities Process and document referral or prior authorization requests from clinical areas Man...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Utah Licensed Account Specialist

Utah Licensed Account Specialist

VirtualVocationsBrownsville, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an Account Specialist, Collections.Key Responsibilities Service a portfolio of small and medium-sized business customer accounts through various contact methods to collec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Travel Emergency Room RN I

Travel Emergency Room RN I

Nightingale NursesHarlingen, TX, US
serp_jobs.job_card.full_time
Nightingale Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Harlingen, Texas.Job Description & Requirements. You may not realize it, but as an RN with r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days