RN Utilization Review Specialist
HUMBLE VASCULAR SURGICAL CENTER INC
HUMBLE VASCULAR SURGICAL CENTER INC in Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring compliance with medical necessity guidelines while collaborating with physicians and interdisciplinary teams. The ideal candidate will possess a Bachelor of Science in Nursing, an active RN license in Texas, and five years of relevant experience. Strong communication and critical thinking skills are essential for effectively managing patient care and achieving optimal outcomes. #J-18808-Ljbffr HUMBLE VASCULAR SURGICAL CENTER INC
- About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level... ...behavioral health or chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In...SuggestedFull timePart timeWeekend work
$70k - $100k
...Description Methodist Surgery Center, part of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal for someone with many years of experience doing Utilization Review who can...SuggestedContract workRemote work2 days per week$1,357 per week
...Registered Nurse (RN) | Utilization Review Location: Dallas, TX Agency: GQR Healthcare Pay: $1,357 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location: Dallas...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$1,357 per week
...Registered Nurse (RN) | Utilization Review Location: Dallas, TX Agency: GQR Healthcare Pay: $1,357 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with GQR...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of...SuggestedHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...As a Mental Health Intake Specialist - RN, your voice to influence patient care is valued and... ...interventions within the Recovery Plan Utilize teaching skills related to psycho educational... ...Intake Specialist - RN opening. We review all applications. Qualified candidates...Temporary workImmediate startFlexible hours
- ...experience and 2 years of ECMO specialist experience ~ Licenses... ...(CCRN) CERT CRITICAL CARE RN (E-AEC) ELSO Adult ECMO Practitioner... ...needs and expectations and utilizes these in conjunction with the... ...participation in care. Reviews personalized patient plan of...Hourly payFull timeShift workNight shift
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Full timeRemote work
- ...RN II - ECMO Specialist RN Team Lead (Nights) WHY UT SOUTHWESTERN? With over 75 years of excellence... ...'s family needs and expectations and utilizes these in conjunction with the... ...patient/family participation in care. Reviews personalized patient plan of care with...Hourly payFull timeShift workNight shift
$2,250 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Dallas, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/17/2026 ~ Duration:...Temporary workLocal areaImmediate startShift work$40 per hour
...time remote Candidates must be based in TX. RN working in the insurance or managed care... ...for performing initial, concurrent review activities; discharge care coordination for... ...guidelines. Provides information regarding utilization management requirements and operational procedures...Remote jobFull timeContract workWork at office$35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role:... ...duties as assigned Requirements: ~ Active, unrestricted RN licensure from the United States in [state], OR, active compact...Hourly payFull timeRemote workWork from homeHome officeWeekend work$125k - $182.5k
...Charge or Assistant Examiner-in-Charge, executing transaction reviews, secondary reviews of transactional testing completed by others... ..., external auditors and regulatory agencies.The Portfolio Specialist works together with the Credit Review Portfolio Manager(s) to...Full timeWork at officeFlexible hoursDay shift- A healthcare staffing agency is seeking a Review Nurse for a contract assignment starting immediately. The role involves medical record abstractions and overreads during the HEDIS survey, requiring a Registered Nurse or Licensed Practical Nurse with experience in HEDIS...Contract workImmediate start
$30 per hour
...and fast-growing national infusion company seeking experienced RN to join our team. This is a perfect opportunity to join an upbeat... ...for this position is hourly plus tips. Summary: An iV Specialists key role is to ensure clients are provided with intravenous medication...Hourly payReliefShift work- ...Position: Senior Hospice Revenue Cycle Specialist Location: Addison, TX Job Id: 231 # of Openings... ...and palliative care organizations utilizing the Curantis platform—managing NOEs, levels... ...Claims & Payment Processing Create, review, and submit accurate hospice claims (UB-...Work experience placementWork at officeRemote workFlexible hoursShift work
- ...This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness...Remote jobContract work
- ...affordable, competitive and flexible benefits. Position Summary Credit Review provides an independent assessment of credit decisions and the... ..., external auditors and regulatory agencies. The Portfolio Specialist works with the Credit Review Portfolio Manager(s) to establish...Flexible hoursShift workDay shift
$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria...Remote jobContract work- Mckee Utility Contractors is hiring a Proposal Specialist who will support the development, coordination, and submission of high-quality proposals, statements... ...efforts from kickoff through final submission.Review RFQs, RFPs, CSPs, and bid documents to identify requirements...For contractorsLocal area
- ...for a Senior Transmission Line Permitting Specialist to join our Environmental Planning and... ...serves numerous private industry and public utility energy clients, on a variety of energy... ...in mentoring personnel, including reviewing their work for accuracy and clarity and...Work at officeLocal areaWorldwideFlexible hours
- ...and day out for the long term.As a Credit Specialist, will serve as a key member of the... ...financials, organizational and payment history utilizing credit reference letters and Dun and... ...customer when payment is due and or late.Reviews daily cash receipts and ensures deposits...Immediate startWorldwideFlexible hours
- ...apply now.We are currently seeking a Systems Integration Senior Specialist to join our team in Addison, Texas (US-TX), United States (US)... ...Technical Specification Document Perform code and design reviews to ensure that the deliverables adhere to the project guidelines...Work at officeRemote workFlexible hours
- ...delivery team through regular communication and collaboration Utilize appropriate software at a proficient level to create graphics and... ...positions, please also be sure to upload your portfolio or review of your application will be delayed. *EOE/M/F/Disability/Vet#LI...Full timeContract workWork at office
- ...exceptional care to their employees.The Payroll Tax and Garnishment Specialist will be responsible for administering payroll garnishments and... ...HR, Legal, and Finance teams. Assist with audits and internal reviews related to garnishments and payroll taxes. Participate in...Work experience placementLocal area
- ...employers and exceptional care to their employees.The Payroll Systems Specialist is responsible for supporting, tracking and auditing of... .... Assist Payroll Tax team, to ensure quarterly/annual tax reviews, year-end processing, audits, and reconciliation needs are accomplished...Work experience placementLocal areaRemote workWork from home
- ...largest technology companies. As a BIM Specialist, you will collaborate with our BIM team... ...the site-level contact for BIM content review, approval, management, and maintenance.... ...CAD/BIM content for data center projects, utilizing professional tools and processes to ensure...Full timeFlexible hours
- ...A leading healthcare institution in Dallas is seeking a part-time RN II for the ECMO Specialist Program. The role involves providing nursing services, operating ECMO devices, and monitoring patient care in critical settings. Candidates should have 3 years of critical care...Part time
$20.98 - $30.12 per hour
...maximum level of cash to reduce receivable. Follows up with insurers to recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any...Immediate startRemote work- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
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